Information Request Form

Section:	Main.A1. CORP. INDEX. C-Cm No. 1.Cambridge Antibody/P.2003. 09.22.2003. (ShareHolder)
Code:	58188
Product:	UK. C
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