We are required, by the United States Department of Commerce, to obtain from you the following information for our records BEFORE YOUR SAMPLE IS SHIPPED.

Simply answer ALL of the questions in this section by choosing the appropriate answer. Please note that ONLY ONE ANSWER is required for each question.

What is the nature of your business? Commercial Military Are you involved, directly or indirectly, in any of the following: a. Nuclear activities Yes No b. Design, development, production or use of missiles Yes No c. Design, development, production, stockpiling or use of chemical and biological weapons Yes No