Information Request Form

Section:	Main.A1. CORP. INDEX. P-Pm.Pfizer /P C2.2002. 10.14.2002. (Subscriber of)
Code:	37561
Product:	USA. P
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:	CUSTOMER
* If you are not linked to any company or organization complete at least this field