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REQUEST FOR ATTENDEE REGISTRATION

Qualify to Attend AMC 2007: The MINE, LLC Forums are a private-investor event designed to provide qualified investors access to international mining companies and their executives. Registration is limited and by invitation only for institutional investors and analysts. To qualify, complete the form and fax the required documents mentioned below. All of the fields are required to submit the form. Please type "N/A" if the field is not applicable to your company. Your request will be reviewed and a response will be sent to you.

Please note that this is not a registration form! If you are a qualified investor, you will be sent a personalized registration form.

All of the fields in this form are required to be completed before submitting the form.
Your name:
Your title:
Company Name:
Company Address:
Telephone:
Fax Number:
Your e-mail address:
Company's Web Address:
Please give a brief description of your company, including:

Type of Company:

What is your company's interest in the oil & gas industry?

Please summarize a brief description of your job:

Please fax a copy of your business card, pertinent articles, brochures, and
publications or annual reports about your company to (303) 377-2430.

Your request will be reviewed and a response will be sent to you. Thank you!

MINE, LLC300 S. Jackson St. Suite #220 Denver, CO 80209 303.377.Mine (6463) Fax: 303.377.2430 E-mail: info@minellc.com