OPTINET DEAL SEEKING REGISTRATION FORM

How would you classify yourself?

OEM              Venture Capitalist

Representative Employee

          Distributor       Contract Manufacturer

What type of deal would you like to make?

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

Enter your Opportunity Seeking comment 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.

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DISCLAIMER: ( PLEASE READ PRIOR TO SUBMIT )

By clicking the SUBMIT button , the Deal Seeker  confirms that the abbreviated Opportunity comment  in this form can be

shown in the Opportunity List and the entire content of this form can be transferred to any Deal Maker "as is" upon request. 

Optinet Inc.  warrants no responsibility to the outcome of this service and reserves the right to remove the comment without notice.