Membership Information Profile Form

[ HVE&CA Organization | HVE&CA Home Page]
Membership in the Hudson Valley Entrepreneur and Consultant Association provides you with the opportunity to post professional information about you and your business. on the Internet at our WEB site for $15/per year. Please fill out the following form :
 
                         Membership Information Profile

Name: __________________________________________________________________
Address: _______________________________________________________________
City: _______________________________ State: ________ Zip: _____________
Phones: Business: (____)_______ FAX: (_____)_______ Email: _____________
Company name: __________________________________________________________
Type of business: ______________________________________________________

PROFESSIONAL INFORMATION
Professional Affiliations (HVE&CA): ___________________________________                             
Willing to Relocate or Travel?
 Relocate(YES/NO,Region?): ____________________
 Travel (Distance):        _____________                                               

Professional Title, Speciality,  Skills, Computer Experience 
Job Classification: ______________________________________________________
(i.e. Systems Consultants, Programmer)
Skills: __________________________________________________________________
(i.e.  C++, Market Research )
Computer Experience: _____________________________________________________
(i.e PC, Mainframe, Unix etc.)
Education/Certification: _________________________________________________
(i.e.  BS MIT,  CNE, etc.)
Mini Resume
 -  ________________________________________________________________________
 -  ________________________________________________________________________
 -  ________________________________________________________________________
 -  ________________________________________________________________________
And send it to:
                     Tri-Fold on line




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                           HVE&CA      MIPS Form
                           Information Architecture
                           32 Woodland Drive
                           Wappingers, N.Y.    12590