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

ORDER FORM

Send me the report entitled "Mergers, Acquisitions & Alliances in the Chemical Industry " 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 US dollars (including overseas air delivery charges for orders from overseas):

US$3,500	(for 1 copy)
US$4,500	(for 2 copies when to one address/simultaneously)
US$	(US$3,500- for 1st copy, plus US$1,000- each for additional copies, when to one address/simultaneously)

Method of payment:	Check enclosed
	Bill me

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