Information Request Form

Section:	Main.A1. CORP. INDEX. I-Im.Igen Intl. Inc./P.2001. 04.09.2001. (BSE Diag.)
Code:	35463
Product:	USA. I
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:	ADDRESS DEVELOPMENT
* If you are not linked to any company or organization complete at least this field