Person Name
Company Name
Address

City		State	Zip
Country	Abu Dhabi Aden (Yemen PDR) Affars Issas (Diji Bouti) Afghanistan Ajman Alaska Albania Algeria Angola Anguilla Antiqua Argentina Asoensocon Island Australia Austria Bahrain Bangla Desh Barbadose Belgium Belize Bermuda Benin (Dahomey) Bhutan Bolivia Boatswana Banarie Brazil Brunei BR Guyana Burundi Bulgaria Burma Burkina Fasso Camboida Cameroons Caroune Island Caicos Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Colombia Comoro Islands Congo Cook Island Costa D' Avorio Costa Rica Cuba Cyprus Czechoslovakia Denmark Doha (Qatar) Domnica British Domnican Republic Dubai Ecuador Egypt (A.R.E) Eire Elsalvador Equitorial giunea Ethiopia Falkland Island Faroe Island Fiji Island Finland France French Fujairah Gaboon Gambia Germany Ghana Gibralter Gilbert/Gribat Great Britain (U.K) Greece Greenland Guam Guatemala Guinea Guinea Bissau Guadeloupe Guantanam Haiti Hawai Honduras British Honduras Rep Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Italy Ivory Coast Jabal Dhana Jamaica Japan Jordan Kenya Kiribati Dhmer Korea (North) Korea (South) Kuwait Laos (PDR) Lebanon Lesotho Liberia Libyan Arab Rep Luxemburg Macao Madagascar Malagasi Rep Malawi (Limbe) Malaysia Maldive Mali Malta Marianne Marshal Island Martinque Mauritania Mauritius Mangolia Maurizio Island Mexico Midway Island Morocco Mozambique Muscat (Oman) Namibia Naurau Island Nepal Netherlands Netherlands Antilles New Caledonia New Hebrides New Zealand Nicaragua Niger Nigeria Niue Norflok Norway Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Polish francese Portugal Portuguese Gunea Peurto Rico Ras-ul-Khaima Rawanda Reunion Romania Russia Saudi Arabia Senegal Sharja Seirra Leone Seycheues Singapore Solomen Island Somalia South Africa Rep South West Africa South Yemen Spain Sri Lanka St. Thomas Principee St. Kitts St. Lucia St. Vincent Sudan Surinam Swaziland Sweden Switzerland Syria Tahiti Taiwan Tanzania Thailand Togo Tonga Transkei Tunisia Turks Island Turkey Tuvaalu U.A.E. Uganda U.K Ummul Qumain Upper volta Uruguay U.S.A Vatican City Venezuela Venda Vietnam Wake Island Wallis & Futuna Yugoslavia Yemen A.R. (Sanna) Yemen Affars Zaire Zambia Zimbabwe	If  Other
E-Mail		Phone	Fax

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