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<title>AMCF | 18th Annual Operating Ratios Reports</title>
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    <td><img src="http://www.amcf.org/2005/emails/images/feb02.gif" width="691" height="1085" border="0"></td>
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    <td><table width="600" border="0" cellspacing="3" cellpadding="3">
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        <td align="right"><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> Full
              Name: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Full Name" type="text" id="Full Name" size="40">
        </span></b></td>
      </tr>
      <tr>
        <td align="right" nowrap><span style='text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Title</font></span><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Title" type="text" id="Title" size="40">
        </span></b></td>
      </tr>
      <tr>
        <td align="right" nowrap><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Company: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Company" type="text" id="Company" size="40">
        </span></b></td>
      </tr>
      <tr>
        <td align="right" nowrap><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Address: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Address" type="text" id="Address" size="50">
        </span></b></td>
      </tr>
      <tr>
        <td align="right"><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">City:</font> </span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="City" type="text" id="City" size="20">
        </span></b></td>
      </tr>
      <tr>
        <td align="right"><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">State:</font> </span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="State" type="text" id="State" size="20">
        </span></b></td>
      </tr>
      <tr>
        <td align="right"><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Zip: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Zip" type="text" id="Zip" size="20">
        </span></b></td>
      </tr>
	        <tr>
        <td align="right" nowrap><span style='text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Country</font></span><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Country" type="text" id="Country" size="40">
        </span></b></td>
      </tr>
      <tr>
        <td align="right"><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Phone: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Phone" type="text" id="Phone" size="25">
        </span></b></td>
      </tr>
      <tr>
        <td align="right"><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Fax: </font> </span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Fax" type="text" id="Fax" size="20">
        </span></b></td>
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        <td align="right"><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">E-mail: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="email" type="text" id="email" size="20">
        </span></b></td>
      </tr>
	        <tr>
        <td align="right" nowrap><span style='text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Nickname</font></span><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'><font size="2" face="Verdana, Arial, Helvetica, sans-serif">: </font></span></td>
        <td><b><span style='font-size:10.0pt;font-family:Weiss;
text-decoration:none;text-underline:none'>
          <input name="Nickname" type="text" id="Nickname" size="40">
        </span></b></td>
      </tr>
    </table>
      <table width="660" border="0" cellspacing="0" cellpadding="5">
        <tr>
          <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><span class="arial10">
            <input name="price" type="radio" id="price" value="$795">
          </span>$295 Member firm representative </font></td>
          <td><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><span class="arial10">
            <input name="price" type="radio" id="price" value="$1250">
          </span> $595 Non-member firm representative</font></td>
        </tr>
      </table>
      <table width="640" border="0" cellspacing="0" cellpadding="5">
        <tr>
          <td colspan="2"><span class="style1"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> Payment: </font></span></td>
        </tr>
        <tr>
          <td colspan="2"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
            <input name="creditCard" type="radio" id="creditCard" value="Check">
      Check payable to AMCF in US funds drawn on a US Bank</font></td>
        </tr>
        <tr>
          <td colspan="2"><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">
            <input name="creditCard" type="radio" id="creditCard" value="AMEX">
      AMEX &nbsp;&nbsp;
      <input name="creditCard" type="radio" id="creditCard" value="Diners Club">
            </font></span><font face="Arial, Helvetica, sans-serif" size="2"><span class="arial10">Diners
            Club&nbsp;&nbsp;
            <input name="creditCard" type="radio" id="creditCard" value="Mastercard">
MasterCard </span></font> <span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">&nbsp;&nbsp;
      <input name="creditCard" type="radio" id="creditCard" value="Visa">
      Visa</font></span></td>
        </tr>
        <tr>
          <td align="right"><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 name="accountNumber" type="text" id="accountNumber" 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="expMonth" id="expMonth">
              <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="expYear" id="expYear">
        <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>
      </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><p><span class="arial10"><font face="Arial, Helvetica, sans-serif" size="2">
                    <input name="AMCF_Info_Packet" type="checkbox" id="AMCF_Info_Packet" value="YES">
                    </font></span> <font size="2" face="Verdana, Arial, Helvetica, sans-serif">I
                    am (we are) interested in AMCF membership &#8211; please
                    send an information packet.</font><br>
                </p></td>
              </tr>
          </table></td>
        </tr>
      </table>
      <table width="650" border="0" align="left" cellpadding="4" cellspacing="0">
        <tr>
          <td align="center"><input type="hidden" name="recipient" value="1,2">
              <input type="hidden" name="_pid" value="11437">
              <input type="hidden" name="_fid" value="S5SZ9G5A">
              <input name="subject" type="hidden" value="HR Affinity Group Roundtable - February 4, 2005 Registration">
              <input type="hidden" name="redirect" value="http://www.amcf.org/">
              <input type="hidden" name="required" value="email">
              <input type="submit" name="Submit" value="Submit Online Registration">
          </td>
          <td width="98"><a href="javascript:popUp('https://digitalid.verisign.com/as2/546f6ae423953706838b4423ab236b16')"><img src="http://www.verisign.com/images/seals/Secure-White98x102.gif" width="98" height="102" border="0"></a></td>
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      </table></td>
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