I successfully install on Win2k ActivePerl.
I used ppm to do it.

p.s. just in case someone doesn't
know how to run the Perl Package Manager:
in Win32 command prompt type "ppm"

update:
then type "install Font-TTF"
If the module is available
it will install.
Type "help" for more options.
ppm is cpan equiv for Win32.
There is also a ppm3 available with some
ActiveState Perl versions.
me, i've always used ppm.