Date:
To: Marketing & Sales Dept.
Mitsubishi Chemical Techno-Research Corporation
Fax: +81-3-5226-0741
4F Kojimachi-Tokyu Bldg., 6-6 Kojimachi,
Chiyoda-ku, Tokyo 102-0083, Japan
Send me the report entitled "New Market Developments in Post-Genome Business 2002" according to the following instructions (please type or print):
Name: .................................................................................................................................................................................................
Title and department: ..............................................................................................................................................................
Company/organization: ..........................................................................................................................................................
Address: ............................................................................................................................................................................................
Telephone: ..................................................................................
Facsimile: ...................................................................................
E-mail: ...........................................................................................
Number of copies: ................................................................
Amount in Price: JPY400,000
   (not including consumption tax in Japan and shipping charge to overseas addresses):
| (for 1 copy) |
| Method of payment: |
Signature:........................................................................................................................................