NAME: POSITION:
COMPANY NAME: Years In Business:
BILLING ADDRESS: CITY:
STATE: ZIP CODE: OFFICE #:
FAX #: PAGE/CELL: E-MAIL:
WEB SITE: SERVICE INDUSTRY: Business Consulting Graphic Design Web Site Design Medical Accounting Marketing Consulting Advertising Public Relations Government Education Motivation Training Personal Development Personal Grooming Services Landscaping Child Care Services Legal/Attorney Wholistic Health/Wellness Food Services Hospitality Special Event Services Catering Faith-Based Services Membership Organization Spiritual Counseling Commercial Printing Printing/Duplication Community/Social Services Real Estate Special Housing Services Entertainment Management Manufaturing/Distribution Fashion/Clothing Interior Design Construction Science International Services Administration Operations Management Business Management Adult Services (Erotica) Resident Management Services Corporate Staffing Event Staffing NightClub/Venue Convention Services Theatre/Concert Hall Business Networking Office Supplies/Resources Financial Services Information Technology Retail Sales Wholesale Ministry/Ministerial Services Video Production Music Production/Recording Performing Arts Visual Arts Media Publications Telecommunications Motion Picture/TV Production
SERVICES NEEDED (Select All That Apply-Hold Ctrl Key to Click More the 1): Graphic Design Basic Web Design Package Video Production Visual Illustration Entertainment Management Performing Arts Disc Jockey Services Music Production/Recording Spiritual Counseling Motivational/Leadership Training Information Technology Technical Support Corporate Staffing Event Staffing Operations Management Executive Administration Resume Package Special Logo Design Package Business Administration Marketing Consulting Business Consulting Resident Management Services Virtual Commercials Advanced Web Design
SIGNATURE (Initials): REFERRED BY (Name of Client or MAE Rep):
I agree to ALL Policies and Procedures stated in the Contractual Manual as it relates to all products and services provided by
the MAE Corporation USA & its subsidiaries and divisions. I realize that a minimum deposit is required before any project is implemented.
All Prices & Policies are subject to change without notice.
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