OTC Paper Information Form

OTC Paper Number: ______________ Paper Title: _____________________________________________________

_________________________________________________________________________________________________

… AUTHOR 1: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 2: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 3: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 4: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 5: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 6: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________
OTC Paper Information Form (continued)

OTC Paper Number: ______________ Paper Title: _____________________________________________________

_________________________________________________________________________________________________

… AUTHOR 7: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 8: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 9: ___________________________________________________________________________________
First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 10: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 11: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 12: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________
OTC Paper Information Form (continued)

OTC Paper Number: ______________ Paper Title: _____________________________________________________

_________________________________________________________________________________________________

… AUTHOR 13: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 14: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 15: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 16: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 17: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________

… AUTHOR 18: __________________________________________________________________________________

First (Forename) Middle Last (Family Name)

Company Affiliation: ________________________________________________________________________________

Complete Address: _________________________________________________________________________________
Telephone: ________________________ Fax: _________________________ E-mail: ___________________________
Briefly describe nature of author’s contribution: ___________________________________________________________