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Event Description: L'Executive Club Meeting
Event Location: Hillsborough, CA United States
Event Date(s): 4/29/2003
Event Website: www.lexecutiveclub.com
Event Info Telephone: 408-771-4957
Event Info Email: info@lexecutiveclub.com

Attendee Personal Info

First Name __________________________________________________
Last Name __________________________________________________
Telephone Number __________________________________________________
Email Address __________________________________________________
Address __________________________________________________
City __________________________________________________
State __________________________________________________
Postal Code __________________________________________________
Country __________________________________________________

Registration Selections

Years in USA __________
Job title __________________________________________________
Company Name __________________________________________________
Company URL __________________________________________________
Number of employees at the company __________
Company annual revenues __________________________________________________
Industry Check only one
Aerospace
Chemical
Computer Hardware
Computer Software
Construction/Architecture/Engineering
Consulting
eBusiness
Energy
Finance/Accounting/Bank
Government
Health Care/Medical/Dental
Insurance/Real Estate/Legal
Media/Marketing/Advertising/Publishing
Non-Profit/Trade Association/School
Supply-Chain
Telecommunications
Travel/Tourism/Entertainment/Hotels
Utilities/Transportation

Would you like to be contacted before the event?
Who is your "Connector"? Check only one
Akram Benmbarek
Ale Gicqueau
Angelika Blendstrup
Benoit Rungeart
Charles-Henry Tranie
Gerard Bessat
Xavier Wartelle

Registration Check only one
Prepay $100.00
Pay at the door (cash or check) - $120

Refer a French-Speaking Chief Executive Friend? __________________________________________________
Comments __________________________________________________
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