Information Request Form

Section:	Main.A1. CORP. INDEX. G-Gm.GlaxoSmithKline/P C2.2002. 12.16.2002. (Partnerships)
Code:	40568
Product:	UK. G
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:	ALLIANCE
* If you are not linked to any company or organization complete at least this field