<table border="0" cellpadding="0" cellspacing="2"><tr><td>&nbsp;</td><td>&nbsp;</td><td>&nbsp;</td></tr><tr><td><span   >Name :</span></td><td>&nbsp;</td><td>johan </td></tr><tr><td><span   >Firste name :</span></td><td>&nbsp;</td><td>maes</td></tr><tr><td><span   >Position :</span></td><td>&nbsp;</td><td>zaakvoerder</td></tr><tr><td><span   >Compagny :</span></td><td>&nbsp;</td><td>bema</td></tr><tr><td><span   >Adress :</span></td><td>&nbsp;</td><td>nieuwewerfkaai 14</td></tr><tr><td><span   >Postal code :</span></td><td>&nbsp;</td><td>8400</td></tr><tr><td><span   >Town :</span></td><td>&nbsp;</td><td>oostende</td></tr><tr><td><span   >E mail :</span></td><td>&nbsp;</td><td>bema.jl@skynet.be</td></tr><tr><td><span   >Téléphone :</span></td><td>&nbsp;</td><td>0032 477 315 415</td></tr><tr><td><span   >Sector of activity :</span></td><td>&nbsp;</td><td>
Industry</td></tr><tr><td><span   >If Other, please state your sector</span></td><td>&nbsp;</td><td>ship repair</td></tr><tr><td><span   >Your field of activity :</span></td><td>&nbsp;</td><td>Roads and utilities engineering department</td></tr><tr><td><span   >Documentation :</span></td><td>&nbsp;</td><td>Pre-treatment and treatment of water</td></tr><tr><td>&nbsp;</td><td>&nbsp;</td><td>&nbsp;</td></tr></table>