PRIMATE PRODUCTS AND SERVICES COMPANY LISTING FORM

PRIMATE INFO NET

PRIMATE PRODUCTS AND SERVICES COMPANY LISTING FORM

To include a listing for your company on the Primate Products and Services Web page, fill out and submit this form. We will activate your entry upon receipt of your contribution.

Company Name:

Street:

City:

State/Province: (please do NOT abbreviate)

Country:

Mailing code:

Year established:

Number of staff:

Phone Number:

Fax number:

E-mail address:

Website address:

Contact person:

Please indicate company size to determine annual contribution level: (check one)
Small ($250): < $250,000 in annual sales
Medium ($500): $250,000 to $750,000 in annual sales
Large ($750): > $750,000 in annual sales

Description of products/services (please limit to 250 words):

Make checks payable to WISCONSIN PRIMATE RESEARCH CENTER and mail to:
Cynthia Robinson
Wisconsin Primate Research Center
1220 Capitol Court
Madison, WI 53715-1299 USA
Phone: 1 (608) 263-3512, Fax: 1 (608) 265-4729, E-mail: library@primate.wisc.edu

YOUR PIN LISTING CAN NOT BE PROCESSED UNTIL WE RECEIVE YOUR CONTRIBUTION!

Company Name:
Street:
City:
State/Province: (please do NOT abbreviate)
Country:
Mailing code:
Year established:
Number of staff:
Phone Number:
Fax number:
E-mail address:
Website address:
Contact person: