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S U B S C R I B E

Important: ALL questions must be answered to start subscription.

1. Fill in your name and complete mailing address information
2. Answer all questions
3. Please complete the verification section at the end of the form. This is for verification/auditing purposes ONLY.

All the above criteria must be met in order to submit your FREE subscription request. Incomplete forms cannot be processed.

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Name and address information:

Full Name:
Title:
Company:
Department:
Street:
City, State, Postal Code:	, -
Country:
Telephone (area code first):	- -
Fax (area code first):	- -
Email Address:*

*by providing your e-mail address you are granting Miller Freeman, Inc. permission to contact you via e-mail regarding your subscription as well as toher products and services from Miller Freeman, Inc. and/or outside parties.

1. What is your Job Title? Choose One... President/CEO Chairman Vice Chairman CFO CIO Director Managing Director Treasurer Secretary Executive VP Senior VP Controller/Comptroller Asst. Vice President Officer Mgr. Operations/MIS/DP Auditor Analyst Cashier Other

Other:

2. Please indicate your primary job function by placing the corresponding number in the box below. Then indicate your secondary job functions by checking all categories that apply.

Primary:

30 Commercial Lending 31 Mortgage Lending 32 Consumer Lending/Credit Cards 33 Retail Banking 34 Trust/Private Banking 35 Operations/MIS/DP

36 Financial Mgmt/Accounting 37 Retail Investment Products 38 Investment/Portfolio Mgmt 39 Trading 40 Telecommunications 41 Branch Management

3. Which best describes your firm?

Choose One... A Commercial Bank B Savings and Loan Association C Savings Bank P Mortgage Bank F Credit Union G Trust Company E Credit Card Affiliate of a Bank H Computer Services Affiliate of a Bank S Finance Company Z Other
Other:

4. Is your firm a US-based foreign bank?

01 Yes     02 No

5. Please indicate which of the following you purchase and/or influence of (check all that apply):

01 Cash Managment Systems
02 Check/Item Processing Systems
03 Client Server
04 Hardware/Peripherals
05 Credit/Debit Card Systems
06 Data Communications
07 Electronic Funds Transfer Systems
08 Specialized Financial Software
09 Trading Systems/Software
10 Global Banking Systems
11 Imaging
12 Interactive Bank Technologies
13 Outsourcing
21 Internet Technologies
14 Retail Delivery/Electronic Banking Systems
15 Data Security Software
16 Telecommunications
17 Telemarketing Systems
18 Trust Systems
19 None of the above
20 Other

Other:

6. Please indicate your firms assets:

Choose One... 14 Over $50 billion 13 $10.1 - $50 billion 12 $1 - $10 billion 11 $500 - $999 million 06 under $500 million

7. Verification: Please choose the first letter of the city of your birth:

Choose One... A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Please answer all questions. Incomplete forms cannot be processed. Publisher reserves the right to determine qualification for free subscriptions.

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