Server: Netscape-Commerce/1.1 Date: Thursday, 18-Dec-97 18:21:03 GMT Last-modified: Wednesday, 08-Oct-97 18:06:05 GMT Content-length: 4917 Content-type: text/html Contacting Oravax

Investor Relations Request Form

Please fill out the following form and check off the appropriate boxes to receive information.

Company:
Title:
First Name:
Last Name:
Address:
City: State:
Zip Code:
Country:
E-Mail Address:
Fax Number:

Please select the most appropriate button:
Current Shareholder
Personal Investor
Broker
Analyst
Portfolio Manager
Banking Contact
Media
Other

Please mail the following literature as soon as possible:
General Information about OraVax
1995 Annual Report
10K/10Q

Please mail the following when it becomes available:
1996 Annual Report
10K/10Q

Please e-mail or fax future press releases (indicate preference below)
E-mail address
Fax Number

Additional Comments or Requests for OraVax Investor Relations


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