Print this form and fax to the local sponsor of the seminar that you wish to attend.

TO: AltaVista Seminar Registrar	FROM:
COMPANY:	DATE:
FAX NUMBER:	COMPANY:
PHONE NUMBER:	FAX NUMBER:
TOTAL # OF PAGES:	PHONE NUMBER:
RE: ALTAVISTA SEMINAR REGISTRATION

SEMINAR DATE: ___________________ SEMINAR LOCATION: _______________________

NAME: _______________________________________________________________________

TITLE: _______________________________________________________________________

COMPANY: ___________________________________________________________________

STREET ADDRESS: ___________________________________________________________

CITY: _______________________________ STATE/PROVINCE: _______________________

COUNTRY: _____________________ POSTAL CODE: _________________

PHONE: ____________________ FAX: _____________________ EMAIL: _______________

Are you looking to make a purchase decision in:
0-3 months 3-6 months 6-9 months just evaluating

Do you approve or influence your company's purchases?
Influence Approve Recommend No influence

I can’t attend, but would like more details about AltaVista Software.

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