Information Request Form

Section:	Main.A1. CORP. INDEX. Sn-Sz.Symrise/P C2.2003. 03.03.2003. (Share Compn.)
Code:	44251
Product:	DE. S
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:	SHAREHOLDER'S COMPOSITION
* If you are not linked to any company or organization complete at least this field