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<!doctype html public "-//w3c//dtd html 4=2E0
transitional//en">
<html>
<head>
<title>Executive Guild Membership
ApplicationResponse-O-Matic Form</title>
</head>
<body text=3D"#808080" bgcolor=3D"#FFFF99"
link=3D"#800040" vlink=3D"#FF0000" alink=3D"#8080C0">
<p>
<font color=3D"#000000">Dear Candidate,=A0<br>
<br>
You have been selected as a potential candidate for a free listing in=A0<=
br>
the 2001 Edition of the International Executive Guild Registry=2E=A0<br>=
<br>
Please accept our congratulations for this coveted honor=2E=A0<br>
<br>
As this edition is so important in view of the new millennium, the=A0<br>=
International Executive Guild Registry will be published in two different=
=A0<br>
formats; the searchable CD-ROM and the Online Registry=2E=A0<br>
<br>
Since inclusion can be considered recognition of your career position=A0<=
br>
and professionalism, each candidate is evaluated in keeping with high=A0<=
br>
standards of individual achievement=2E In light of this, the Internationa=
l Executive<br>
Guild thinks that you may make an interesting biographical subject=2E=A0<=
br>
<br>
We look forward to your inclusion and appearance in the International=A0<=
br>
Executive Guild's Registry=2E Best wishes for your continued success=2E=A0=
<br>
<br>
International Executive Guild=A0<br>
Listing Dept=2E=A0</font>
<hr WIDTH=3D"100%">
<p align=3D"center"><b><i><font color=3D"#000000">If you
wish to be removed from our list, please submit
your request</font></i></b>
<br><b><i><font face=3D"Times New
Roman,Times"><font color=3D"#000000">at the
bottom of this email=2E</font></font></i></b>
</p>
<hr WIDTH=3D"100%">
<table WIDTH=3D"695" >
<caption><script language=3D"JavaScript">
<!--
function validate_form() {
validity =3D true; // assume valid
if (!check_empty(document=2Eform=2Ebusphone=2Evalue))
{ validity =3D false; alert('Day Time
Phone field is empty!'); }
if (validity)
alert ("Thank you for your registration!
"
+ "Your form is now being passed
to your browser's "
+ "Mail Delivery Sub-System for
NORMAL"
+ " NON-ENCRYPTED email
delivery=2E"
+ " All email addresses are
removed from our system"
+ " upon registration=2E Please
click OK to proceed");
return validity;
}
function check_empty(text) {
return (text=2Elength > 0); // returns false if
empty
}
// -->
</script>
<!-- CHANGE EMAIL ADDRESS IN ACTION OF FORM -->
<form name=3D"form"
method=3D"post"
action=3D"mailto:carment5y_(at)_alloymail=2Ecom?SUBJECT=3DIEG Registration"
enctype=3D"text/plain"
<tr>
</caption>
<td></td>
</tr>
<tr>
<td VALIGN=3DTOP COLSPAN=3D"2">
<center><b><i><font color=3D"#000000"><font
size=3D+3>International Executive Guild</font></font></i></b>
<br><b><font color=3D"#000000"><font
size=3D+2>Registration Form</font></font></b>
<br><b><font color=3D"#000000">(US and Canada
Only)</font></b>
<br>
<hr WIDTH=3D"100%"></center>
</td>
</tr>
<tr>
<td VALIGN=3DTOP COLSPAN=3D"2"><i><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D+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=2E There is </font>no
charge or obligation<font size=3D+0> to be listed
on The International Executive Guild=2E</font></font></font></i>
<br>
<hr WIDTH=3D"100%"></td>
</tr>
<tr>
<td VALIGN=3DTOP></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-1>Your
Name</font></font></font></b></td>
<td ALIGN=3DLEFT WIDTH=3D"300"><input type=3D"text"
value size=3D"50" maxlength=3D"250" name=3D"Name"></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-1>Your
Company</font></font></font></b></td>
<td ALIGN=3DLEFT WIDTH=3D"300"><input type=3D"text"
value size=3D"50" maxlength=3D"250"
name=3D"Company"></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-
1>Title</font></font></font></b></td>
<td ALIGN=3DLEFT WIDTH=3D"300"><input type=3D"text"
value size=3D"50" maxlength=3D"250"
name=3D"Title"></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-
1>Address</font></font></font></b></td>
<td ALIGN=3DLEFT WIDTH=3D"300"><input type=3D"text"
value size=3D"50" maxlength=3D"250"
name=3D"Address"></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-
1>City</font></font></font></b></td>
<td ALIGN=3DLEFT WIDTH=3D"300"><input type=3D"text"
value size=3D"50" maxlength=3D"250" name=3D"City"></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-1>State
or Province</font></font></font></b></td>
<td ALIGN=3DLEFT WIDTH=3D"300"><input type=3D"text"
value size=3D"12" maxlength=3D"50" name=3D"State"></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-
1>Country</font></font></font></b></td>
<td ALIGN=3DLEFT WIDTH=3D"300"><select
NAME=3D"Country" Size=3D"1"><option SELECTED><font
color=3D"#000000">USA<option
SELECTED>Canada</font></select></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-1>ZIP/Postal
Code</font></font></font></b></td>
<td ALIGN=3DLEFT VALIGN=3DCENTER WIDTH=3D"300"><input
type=3D"text" value size=3D"12" maxlength=3D"50"
name=3D"Zip"></td>
</tr>
<tr>
<td ALIGN=3DRIGHT WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-1>Day
Time Telephone</font></font></font></b></td>
<td ALIGN=3DLEFT WIDTH=3D"300"><input type=3D"text"
value size=3D"22" maxlength=3D"50"
name=3D"busphone"></td>
</tr>
<tr>
<td>
<div align=3Dright><b><font
face=3D"Arial,Helvetica"><font
color=3D"#000000"><font size=3D-1>Home
Phone</font></font></font></b></div>
</td>
<td><input type=3D"text" value size=3D"22"
maxlength=3D"50" name=3D"homephone"><b><font
color=3D"#000000"><font size=3D-2>(Not
To Be Published)</font></font></b></td>
</tr>
<tr>
<td>
<div align=3Dright><b><font
face=3D"Arial,Helvetica"><font
color=3D"#000000"><font size=3D-
1>Email</font></font></font></b></div>
</td>
<td><input type=3D"text" value size=3D"50"
maxlength=3D"100" name=3D"Email"></td>
</tr>
<tr>
<td></td>
<td></td>
</tr>
</table>
<center>
<p>
<hr WIDTH=3D"100%"><b><font
face=3D"ARIAL,HELVETICA"><font
color=3D"#000000"><font size=3D-1>TO
HELP US IN CONSIDERING YOUR APPLICATION, PLEASE
TELL US A LITTLE ABOUT
YOURSELF=2E=2E=2E</font></font></font></b>
<br>
<hr WIDTH=3D"100%"></center>
<center><table WIDTH=3D"81%" >
<tr>
<td ALIGN=3DRIGHT VALIGN=3DTOP WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-1>Your
Business</font></font></font></b></td>
<td>
<div align=3Dright><input type=3D"text" value
size=3D"50" maxlength=3D"200"
name=3D"business"></div>
<font face=3D"arial,helvetica"><font color=3D"#000000"><font
size=3D-1>(Financial
Svcs, Banking, Computer Hardware, Software, Professional Svcs,
Chemicals,
Apparel, Aerospace, Food, Government, Utility,
etc=2E)</font></font></font></td>
</tr>
<tr>
<td ALIGN=3DRIGHT VALIGN=3DTOP WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-1>Type
of Organization</font></font></font></b></td>
<td>
<div align=3Dright><input type=3D"text" value size=3D"50" maxlength=3D"25=
0"
name=3D"Orgtype"></div>
<font face=3D"arial,helvetica"><font color=3D"#000000"><font size=3D-1>(M=
fg,
Dist/Wholesaler, Retailer, Law Firm,</font></font></font>
<br><font face=3D"arial,helvetica"><font color=3D"#000000"><font
size=3D-1>Investment
Bank, Commercial Bank, University,</font></font></font>
<br><font face=3D"arial,helvetica"><font color=3D"#000000"><font
size=3D-1>Financial
Consultants, Ad Agency, Contractor, Broker,
etc=2E)</font></font></font></td>
</tr>
<tr>
<td VALIGN=3DTOP WIDTH=3D"300">
<div align=3Dright><b><font face=3D"arial,helvetica"><font
color=3D"#000000"><font
size=3D-1>Your
Business Expertise</font></font></font></b></div>
</td>
<td>
<div align=3Dright><input type=3D"text" value size=3D"50" maxlength=3D"25=
0"
name=3D"expertise"></div>
<font face=3D"arial,helvetica"><font color=3D"#000000"><font
size=3D-1>(Corp=2EMgmt,
Marketing, Civil Engineering,</font></font></font>
<br><font face=3D"arial,helvetica"><font color=3D"#000000"><font size=3D-=
1>Tax
Law, Nuclear Physics, Database Development, Operations, Pathologist,
Mortgage
Banking, etc=2E)</font></font></font></td>
</tr>
<tr>
<td ALIGN=3DRIGHT VALIGN=3DTOP WIDTH=3D"300"><b><font
face=3D"arial,helvetica"><font
color=3D"#000000"><font size=3D-1>Major
Product Line</font></font></font></b></td>
<td>
<div align=3Dright><input type=3D"text" value size=3D"50" maxlength=3D"25=
0"
name=3D"product"></div>
<font face=3D"arial,helvetica"><font color=3D"#000000"><font
size=3D-1>(Integrated
Circuits, Commercial Aircraft, Adhesives, Cosmetics, Plastic Components,
Snack Foods, etc=2E)</font></font></font></td>
</tr>
</table></center>
<center>
<p><input NAME=3D"submit" TYPE=3D"submit" VALUE=3D" Submit By E-Mail "><i=
nput
NAME=3D"reset" TYPE=3D"reset" VALUE=3D" Clear Form "></form>
<br><b><font color=3D"#000000"><font size=3D-1>Note: Submitting this form=
will
be made by email, not by use of www=2E Confirmation of its de=
livery
is made by browsing your outgoing mail=2E</font></font></b>
<br>
<hr WIDTH=3D"100%"><b><i><font face=3D"arial,helvetica"><font
color=3D"#000000"><font
size=3D-1>Thank
you for filling in this form, we will contact you with more
information=2E</font></font></font></i></b>
<br>
<hr WIDTH=3D"100%">
<br><b><font size=3D+1>List
Removal</font></b>
<br><b><font color=3D"#000000"><font size=3D-1><a
href=3D"mailto:carment4y_(at)_yahoo=2Ecom?subject=3Dremove">Click
Here</a></font></font></b></center>
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