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[Here is a questionnaire that you can fill out if you would like your
consulting business listed free of charge in a directory of consultants.
Your local library may have a copy of the directory. It only lists  
consultants and consulting organizations in the United States and 
Canada. Please do not return the questionnaire to me. Send it to 
the directory editor at the post office box in Maryland.]

 Complete this form for FREE listing in
 CONSULTANTS AND CONSULTING ORGANIZATIONS DIRECTORY
 A Reference Guide to Concerns and Individuals Engaged in Consultation
 for Business, Industry, and Government. Published by Gale Research Inc.

Return questionnaire to:
 Consultants and Consulting Organizations Directory
 Editorial Services Limited
 P.O. Box 6789
 Silver Spring, Maryland 20916
 U.S.A.
 telephone (301) 871-5280
 fax (301) 871-9538

Name of Firm or Independent Consultant:

Address (list branch offices at end of questionnaire):

Telephone:                        Year Founded:
Fax:                     Toll-free:           Other:
Principal executives (names and titles):
Number of staff (total):
Number of staff (consulting professionals):
Annual consulting revenues (omit, if not for publication):
Description of consulting services:

Industries served:
Indicate the appropriate description of your firm:
 [] large business  [] small business
 [] minority-owned  [] women-owned  [] serves government
Geographic area served:

MAJOR SUBJECT SECTIONS
Each company is listed in one major subject section. Check the box of
the one subject that best reflects the activity of your organization.
  [] Agriculture, Forestry and Landscaping
  [] Architecture anfd Interior Design
  [] Art, Graphics and Communications Media
  [] Business and Finance
  [] Computer Technology, Telecommunications, and Information Services
  [] Education and Personal Development
  [] Engineering, Science, and Technology
  [] Environment, Geology, and Land Use
  [] Health, Medicine and Safety
  [] Human Resources Development
  [] Management
  [] Manufacturing/Industrial/Transportation Operations
  [] Marketing and Sales
  [] Politics and Social Issues

Recent publications or videos by your organization and/or its principal
executives (provide full bibliographic information for each title):

Seminars/workshops (List titles and topics of programs sponsored or
presented by your organization):

Computer and Special Services (include descriptions of unusual computer
hardware, software, systems, or data bases used in consulting work, as
well as any other special services not covered above):

The following information is very important.
Branch offices: List complete street address, P.O. Box, city, state or
province, country, zip or postal code.

Attach additional sheets if necessary.

Prepared by (name, title and date):