Your Real Name

Description of what you do or what your company does, such as Desktop Publishing Specialists

The name of your Company or the Company you work for

URL: http://www.wherever.com

100 Commerce Blvd.
Town or City, STATE ZIPCODE
USA

e-mail: your_address@wherever.com

phone: (XXX )YYY -ZZZZ , ext. 100
fax: (XXX )YYY -ZZZ

I am self-employed.

Type of business: Business Consulting.

Title/Responsibilities: Personnel Director