Information Request Form

Section:	Main.A1. CORP. INDEX. B-Bm.Bayer AG./P C2.2002. 11.25.2002. (ImPotency)
Code:	39461
Product:	DE. B
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:	TRADEMARK GENERIC NAME
* If you are not linked to any company or organization complete at least this field