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	FIRST NAME


	LAST NAME


	ADDRESS 1


	ADDRESS 2


	CITY


			STATE

		ZIP CODE

	PHONE NUMBER


	-


	-


	EMAIL ADDRESS


	EMPLOYMENT START DATE

		EMPLOYMENT END DATE


	If you were employed until the merger type: NOVELL MERGER


	TELL US ABOUT YOU WHAT HAS LIFE BROUGHT TO YOU SINCE WORDPERFECT?

		HINT: Use your word processor or text editor to create your profile then copy and paste it in the field provided.


	CAN WE SHARE ALL THIS INFORMATION ON OUR WEBSITE? www.wordperfecttelecom.com


	YES


	NO


	SOME OF IT


	WHAT WOULD YOU PREFER NOT TO BE SHARED


	The information you provide will be complied for each of us to have to keep in contact with you. If you would perfer not to have it published on the website please let us know. We will only post the information you want posted. The rest will be kept for contact information ONLY.

SEND A PHOTO OF YOU AND/OR YOU AND YOUR FAMILY TO BE INCLUDED ON
THE TEAM PAGE.

SEND IT TO: webmaster@wordperfecttelecom.com


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