Information Request Form

Section:	Main.A1. CORP. INDEX. Bn-Bz.Burlington Industries/P.2002. 03.--.2002. (License)
Code:	47174
Product:	USA. B
Company or Organization:
Contact's name *:
Position:
E-mail:
Mailing address:
Phone number:
Fax number:
Fields of interest:	TECHNOLOGY LICENSEE LICENSOR TRADEMARK
* If you are not linked to any company or organization complete at least this field