Do you want to know more about our activities or do you have a specific question? By filling in and sending this form we will contact you as soon as possible. Name: Company: Phone: E-mail:

Empee Interim Management BV Marcel M.P. Probst Doornburg 170 1081 JX AMSTERDAM The Netherlands Mobile: 0031 - (0)6 53 32 32 26 E-mail: mp@empee-im.com