Date:

To:Marketing&SalesDept.
DIA RESEARCH MARTECHINC.

Fax:+81-3-5226-0741
4FKojimachi-Tokyu Bldg.,6-6Kojimachi, Chiyoda-ku, Tokyo102-0083, Japan

Send me the report entitled"China's Medical Insurance System and the Status of Medical Treatment and Health, 2006"according tothefollowinginstructions(pleasetype orprint):

Name: .................................................................................................................................................................................................

Titleanddepartment: ..............................................................................................................................................................

Company/organization: ..........................................................................................................................................................

Address: ............................................................................................................................................................................................

Telephone: ..................................................................................

Facsimile: ...................................................................................

E-mail: ...........................................................................................

Numberofcopies: ................................................................

AmountinPrice:JPY95,000
   (not including consumption tax in Japan and shipping charge to overseas addresses):

JPY95,000

(for1copy)

Method of payment:

Bill me

Signature:........................................................................................................................................