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<title>Operating Ratios Order Form</title>
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<body bgcolor="#FFFFFF"><form name="form1" method="post">
<table width="850" border="0" cellpadding="0" cellspacing="0">
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      <td align="center"><b><font size="5" face="Arial, Helvetica, sans-serif" color="#000000"><img src="images/or_top2.gif" width="728" height="934"><br>
      <img src="images/or_top2b.gif" width="692" height="287"> </font></b></td>
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      <td> <table width="650" border="1" cellspacing="0" cellpadding="3" bordercolor="#000000" align="center">
          <tr align="center"> 
            <td width="200"><font face="Arial, Helvetica, sans-serif" size="2"><span style='mso-bidi-font-weight:bold'><o:p></o:p></span></font></td>
            <td width="125"><font color="#990000" size="2" face="Arial, Helvetica, sans-serif"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif"><b>Full 
              survey </b><o:p></o:p><o:p></o:p></font><font face="Times New Roman, Times, serif"><o:p></o:p></font><o:p></o:p></span></font></td>
            <td width="200"><font color="#990000" size="2" face="Arial, Helvetica, sans-serif"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif"><b>Executive 
              Summary </b></font><o:p></o:p></span></font></td>
            <td width="125"><font color="#990000" size="2" face="Arial, Helvetica, sans-serif"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif"><b>Excerpts</b></font><o:p></o:p></span></font></td>
          </tr>
          <tr> 
            <td>Member</td>
            <td align="center">$495</td>
            <td align="center">$250</td>
            <td align="center">$175</td>
          </tr>
          <tr> 
            <td>Non-member</td>
            <td align="center">$695</td>
            <td align="center">$350</td>
            <td align="center">$225</td>
          </tr>
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        <table width="650" border="1" cellspacing="0" cellpadding="3" bordercolor="#000000" align="center">
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            <td width="200"><font face="Arial, Helvetica, sans-serif" size="2"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif"><b>Title</b></font><o:p></o:p></span></font></td>
            <td width="125"><font face="Arial, Helvetica, sans-serif" size="2"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif"><b>Price</b><o:p></o:p><o:p></o:p></font><font face="Times New Roman, Times, serif"><o:p></o:p></font><o:p></o:p></span></font></td>
            <td width="200"><font face="Arial, Helvetica, sans-serif" size="2"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif"><b>Quantity</b></font><o:p></o:p></span></font></td>
            <td width="125"><font face="Arial, Helvetica, sans-serif" size="2"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif"><b>Total</b></font><o:p></o:p></span></font></td>
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          <tr> 
            <td height="40">&nbsp;</td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
          </tr>
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        <table width="750" border="0" cellspacing="0" cellpadding="0">
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            <td> 
              <table width="375" border="1" cellspacing="0" cellpadding="3" bordercolor="#000000" align="right">
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                  <td width="250"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif">SUBTOTAL</font><o:p></o:p></span></td>
                  <td width="125">&nbsp;</td>
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                  <td width="250"><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif">Shipping 
                    and Handling</font></span><font face="Times New Roman, Times, serif"><span style='mso-bidi-font-weight:bold'><o:p>(see 
                    below)</o:p></span></font><span style='mso-bidi-font-weight:bold'><o:p></o:p></span></td>
                  <td width="125">&nbsp;</td>
                </tr>
                <tr> 
                  <td><span style='mso-bidi-font-weight:bold'><font size="3" face="Times New Roman, Times, serif">TOTAL</font><o:p></o:p></span></td>
                  <td>&nbsp;</td>
                </tr>
              </table>
            </td>
          </tr>
        </table>
        
        <table width="600" border="0" cellspacing="3" cellpadding="3">
          <tr> 
            <td align="right"><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">Name: 
              </font></span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield" size="40">
              </span></b></td>
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            <td align="right" nowrap><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">Company: 
              </font></span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield3" size="40">
              </span></b></td>
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            <td align="right" nowrap><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">Address: 
              </font></span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield4" size="50">
              </span></b></td>
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          <tr> 
            <td align="right"><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">City:</font> 
              </span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield5" size="20">
              </span></b></td>
          </tr>
          <tr> 
            <td align="right"><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">State:</font> 
              </span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield52" size="20">
              </span></b></td>
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            <td align="right"><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">Zip: 
              </font></span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield53" size="20">
              </span></b></td>
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            <td align="right"><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">Country: 
              </font></span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield54" size="20">
              </span></b></td>
          </tr>
          <tr> 
            <td align="right"><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">Phone: 
              </font></span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield55" size="25">
              </span></b></td>
          </tr>
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            <td align="right"><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">Fax: 
              </font> </span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield56" size="20">
              </span></b></td>
          </tr>
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            <td align="right"><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font face="Times New Roman, Times, serif">E-mail: 
              </font></span></b></td>
            <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'> 
              <input type="text" name="textfield57" size="20">
              </span></b></td>
          </tr>
        </table>
        <table width="640" border="0" cellspacing="0" cellpadding="5">
          <tr> 
            <td align="right" width="60" nowrap><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">Account 
              Number: </font></span></td>
            <td> <font face="Arial, Helvetica, sans-serif" size="2"> 
              <input type="text" name="textfield112" size="40">
              </font></td>
          </tr>
          <tr> 
            <td align="right"><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">Exp 
              Date: </font></span></td>
            <td> <font face="Arial, Helvetica, sans-serif" size="2"> 
              <select name="select">
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
              </select>
              / 
              <select name="select2">
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
              </select>
              </font></td>
          </tr>
          <tr> 
            <td colspan="2"><span class="arial10"><br>
              <font face="Arial, Helvetica, sans-serif" size="2">Signature:</font><font size="2">__________________________________________________________________________<br>
              &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<font size="1">&nbsp;<b><font face="Verdana, Arial, Helvetica, sans-serif">Signature 
              is required to processing</font></b></font></font></span></td>
          </tr>
          <tr> 
            <td colspan="2"> <table width="640" border="0" cellspacing="0" cellpadding="5">
                <tr> 
                  <td><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2"> 
                    <input type="checkbox" name="checkbox5" value="checkbox">
                    Amex &nbsp;&nbsp; 
                    <input type="checkbox" name="checkbox6" value="checkbox">
                    Visa</font></span><font face="Arial, Helvetica, sans-serif" size="2"><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2"></font></span></font><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">&nbsp;&nbsp; 
                    <input type="checkbox" name="checkbox7" value="checkbox">
                    MasterCard &nbsp;&nbsp; 
                    <input type="checkbox" name="checkbox8" value="checkbox">
                    </font></span><font face="Arial, Helvetica, sans-serif" size="2"><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">Diners 
                    Club </font></span></font> </td>
                </tr>
                <tr>
                  <td><font face="Arial, Helvetica, sans-serif" size="2"><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">Check 
                    one: 
                    <input type="checkbox" name="checkbox32" value="checkbox">
                    US Mail $10 
                    <input type="checkbox" name="checkbox42" value="checkbox">
                    <span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">Federal 
                    Express-Domestic <span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2"><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2"><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">$25<span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2"> 
                    <input type="checkbox" name="checkbox422" value="checkbox">
                    </font></span> </font></span></font></span></font></span></font></span></font></span><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2"> 
                    Non-US</font></span><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2"> 
                    $35</font></span></font></td>
                </tr>
              </table>
              
            </td>
          </tr>
        </table>
        
      </td>
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  </table>
    <table width="750" border="0" cellspacing="0" cellpadding="10">
      <tr>
      <td align="left"><img src="images/or_top2c.gif" width="719" height="229" border="0" usemap="#Map"></td>
      </tr>
    </table>
      
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