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Subject: Please provide the information indicated (must provide information where you see a * shown).

Name*         

Title*

Company*

E-mail Address*

Please indicate subscription:  (We will send you an invoice by return e-mail)        

Individual - one year - $2,500

Corporate rate - one year - $3,500 for up to 5 subscriptions; $5,000 for up to 10 subscriptions.  All

       subscriptions must be within the same internet domain name

If corporate subscription:      

The e-mail addresses for the other corporate members are as follows:

                

                

                

                

                

 

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