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<title>Executive Guild Membership
ApplicationResponse-O-Matic Form</title>
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<p><font color="#000000">Dear Professional,<br>
<br>
You have been selected as a potential candidate for biographical<br>
inclusion in the 2000 - 2001 Edition of the International Executive<br>
Guild Registry.<br>
<br>
Please accept our congratulations for this coveted honor.<br>
<br>
As this edition is so important in view of the new millennium, the<br>
International Executive Guild Registry will be published in two<br>
different formats; the searchable CD-ROM and the Online Registry.<br>
<br>
Since inclusion can be considered recognition of your career position<br>
and professionalism, each candidate is evaluated in keeping with high<br>
standards of individual achievement. In light of this, the International<br>
Executive Guild thinks that you may make an interesting biographical<br>
subject.<br>
<br>
We look forward to your inclusion and appearance in the International<br>
Executive Guild's Registry. Best wishes for your continued success.<br>
<br>
International Executive Guild<br>
Listing Dept.<br>
<br>
P.S. There is no cost or obligation to be included in the International<br>
Executive Guild Registry. For accuracy and publication purposes, we ask<br>
you to fill in the brief bit of information in the registration form<br>
below.</font></p>
<p>
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<p align="center"><b><i><font color="#000000">If you
wish to be removed from our list, please submit
your request</font></i></b>
<br><b><i><font face="Times New
Roman,Times"><font color="#000000">at the
bottom of this email.</font></font></i></b>
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<center><b><i><font color="#000000"><font
size=+3>International Executive Guild</font></font></i></b>
<br><b><font color="#000000"><font
size=+2>Registration Form</font></font></b>
<br><b><font color="#000000">(US and Canada
Only)</font></b>
<br>
<hr WIDTH="100%"></center>
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<td VALIGN=TOP COLSPAN="2"><i><font
face="arial,helvetica"><font
color="#000000"><font size=+0>Please
fill out this form if you would like to be
included on The International
Executive Guild, For accuracy and
publication purposes, please
complete and send this form at the earliest
opportunity. There is </font>no
charge or obligation<font size=+0> to be listed
on The International Executive Guild.</font></font></font></i>
<br>
<hr WIDTH="100%"></td>
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<tr>
<td VALIGN=TOP></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-1>Your
Name</font></font></font></b></td>
<td ALIGN=LEFT WIDTH="300"><input type="text"
value size="50" maxlength="250" name="Name"></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-1>Your
Company</font></font></font></b></td>
<td ALIGN=LEFT WIDTH="300"><input type="text"
value size="50" maxlength="250"
name="Company"></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-
1>Title</font></font></font></b></td>
<td ALIGN=LEFT WIDTH="300"><input type="text"
value size="50" maxlength="250"
name="Title"></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-
1>Address</font></font></font></b></td>
<td ALIGN=LEFT WIDTH="300"><input type="text"
value size="50" maxlength="250"
name="Address"></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-
1>City</font></font></font></b></td>
<td ALIGN=LEFT WIDTH="300"><input type="text"
value size="50" maxlength="250" name="City"></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-1>State
or Province</font></font></font></b></td>
<td ALIGN=LEFT WIDTH="300"><input type="text"
value size="12" maxlength="50" name="State"></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-
1>Country</font></font></font></b></td>
<td ALIGN=LEFT WIDTH="300"><select
NAME="Country" Size="1"><option SELECTED><font
color="#000000">USA<option
SELECTED>Canada</font></select></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-1>ZIP/Postal
Code</font></font></font></b></td>
<td ALIGN=LEFT VALIGN=CENTER WIDTH="300"><input
type="text" value size="12" maxlength="50"
name="Zip"></td>
</tr>
<tr>
<td ALIGN=RIGHT WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-1>Day
Time Telephone</font></font></font></b></td>
<td ALIGN=LEFT WIDTH="300"><input type="text"
value size="22" maxlength="50"
name="busphone"></td>
</tr>
<tr>
<td>
<div align=right><b><font
face="Arial,Helvetica"><font
color="#000000"><font size=-1>Home
Phone</font></font></font></b></div>
</td>
<td><input type="text" value size="22"
maxlength="50" name="homephone"><b><font
color="#000000"><font size=-2>(Not
To Be Published)</font></font></b></td>
</tr>
<tr>
<td>
<div align=right><b><font
face="Arial,Helvetica"><font
color="#000000"><font size=-
1>Email</font></font></font></b></div>
</td>
<td><input type="text" value size="50"
maxlength="100" name="Email"></td>
</tr>
<tr>
<td></td>
<td></td>
</tr>
</table>
<center>
<p>
<hr WIDTH="100%"><b><font
face="ARIAL,HELVETICA"><font
color="#000000"><font size=-1>TO
HELP US IN CONSIDERING YOUR APPLICATION, PLEASE
TELL US A LITTLE ABOUT
YOURSELF...</font></font></font></b>
<br>
<hr WIDTH="100%"></center>
<center><table WIDTH="81%" >
<tr>
<td ALIGN=RIGHT VALIGN=TOP WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-1>Your
Business</font></font></font></b></td>
<td>
<div align=right><input type="text" value
size="50" maxlength="200"
name="business"></div>
<font face="arial,helvetica"><font color="#000000"><font
size=-1>(Financial
Svcs, Banking, Computer Hardware, Software, Professional Svcs,
Chemicals,
Apparel, Aerospace, Food, Government, Utility,
etc.)</font></font></font></td>
</tr>
<tr>
<td ALIGN=RIGHT VALIGN=TOP WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-1>Type
of Organization</font></font></font></b></td>
<td>
<div align=right><input type="text" value size="50" maxlength="250"
name="Orgtype"></div>
<font face="arial,helvetica"><font color="#000000"><font size=-1>(Mfg,
Dist/Wholesaler, Retailer, Law Firm,</font></font></font>
<br><font face="arial,helvetica"><font color="#000000"><font
size=-1>Investment
Bank, Commercial Bank, University,</font></font></font>
<br><font face="arial,helvetica"><font color="#000000"><font
size=-1>Financial
Consultants, Ad Agency, Contractor, Broker,
etc.)</font></font></font></td>
</tr>
<tr>
<td VALIGN=TOP WIDTH="300">
<div align=right><b><font face="arial,helvetica"><font
color="#000000"><font
size=-1>Your
Business Expertise</font></font></font></b></div>
</td>
<td>
<div align=right><input type="text" value size="50" maxlength="250"
name="expertise"></div>
<font face="arial,helvetica"><font color="#000000"><font
size=-1>(Corp.Mgmt,
Marketing, Civil Engineering,</font></font></font>
<br><font face="arial,helvetica"><font color="#000000"><font size=-1>Tax
Law, Nuclear Physics, Database Development, Operations, Pathologist,
Mortgage
Banking, etc.)</font></font></font></td>
</tr>
<tr>
<td ALIGN=RIGHT VALIGN=TOP WIDTH="300"><b><font
face="arial,helvetica"><font
color="#000000"><font size=-1>Major
Product Line</font></font></font></b></td>
<td>
<div align=right><input type="text" value size="50" maxlength="250"
name="product"></div>
<font face="arial,helvetica"><font color="#000000"><font
size=-1>(Integrated
Circuits, Commercial Aircraft, Adhesives, Cosmetics, Plastic Components,
Snack Foods, etc.)</font></font></font></td>
</tr>
</table></center>
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<hr WIDTH="100%"><b><i><font face="arial,helvetica"><font
color="#000000"><font
size=-1>Thank
you for filling in this form, we will contact you with more
information.</font></font></font></i></b>
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