Information Request Form

Section:	Main.COSMETICS (#).Skin Cosmetics.Tanning.Coating.Automatic Method
Code:	4221
Product:	USA. L.
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:	CONTACT PATENT ASSIGNEE
* If you are not linked to any company or organization complete at least this field