OPTINET DEAL MAKING INTEREST FORM

How would you classify yourself?

OEM              Venture Capitalist

Representative Employee

          Distributor       Contract Manufacturer

What published deal are you interested in making?

Technology Transfer Merge and Aquizition Contract Manufacturing Venture Capital Rep and Distribution Human Resources Number:

Enter your comments to the Deal Seeker in the space provided below:

Tell us how to get in touch with you:

Name
E-mail
Tel
FAX

Please contact me as soon as possible regarding this matter.

 RETURN

DISCLAIMER: ( PLEASE READ PRIOR TO SUBMIT )

By clicking the SUBMIT button , the Deal Maker confirms that the entire

content of this form can be transferred to a Deal Seeker, "as is", upon request. 

Optinet Inc. warrants no responsibility to the outcome of this service.