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	                  Chain Leader:  The magazine written for restaurant executives.  Each issue will give you the latest trends and innovations to help your business succeed.  Published 12 times a year.
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                          <td align="right" class="address1" width="200">First &amp; Last Name</td>
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							Country					
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							<td align="left" valign="middle" width="240" height="22" bgcolor="#EFEFEF">
							<select name="Country1" style="width:220px"><option Value="">Select One
			</option>
<option Value="UNITED STATES">UNITED STATES</option>
<option Value="CANADA">CANADA</option>
<option Value="MEXICO">MEXICO</option>
<option Value="AFGHANISTAN">AFGHANISTAN</option>
<option Value="ALBANIA">ALBANIA</option>
<option Value="ALGERIA">ALGERIA</option>
<option Value="ANDORRA">ANDORRA</option>
<option Value="ANGOLA">ANGOLA</option>
<option Value="ANGUILLA">ANGUILLA</option>
<option Value="ANTIGUA &amp; BARBUDA">ANTIGUA &amp; BARBUDA</option>
<option Value="ARGENTINA">ARGENTINA</option>
<option Value="ARMENIA">ARMENIA</option>
<option Value="ARUBA">ARUBA</option>
<option Value="ASCENSION ISLANDS">ASCENSION ISLANDS</option>
<option Value="AUSTRALIA">AUSTRALIA</option>
<option Value="AUSTRIA">AUSTRIA</option>
<option Value="AZERBAIJAN">AZERBAIJAN</option>
<option Value="BAHAMAS">BAHAMAS</option>
<option Value="BAHRAIN">BAHRAIN</option>
<option Value="BANGLADESH">BANGLADESH</option>
<option Value="BARBADOS">BARBADOS</option>
<option Value="BELARUS">BELARUS</option>
<option Value="BELGIUM">BELGIUM</option>
<option Value="BELIZE">BELIZE</option>
<option Value="BENIN">BENIN</option>
<option Value="BERMUDA">BERMUDA</option>
<option Value="BHUTAN">BHUTAN</option>
<option Value="BOLIVIA">BOLIVIA</option>
<option Value="BOSNIA-HERZEGOVINA">BOSNIA-HERZEGOVINA</option>
<option Value="BOTSWANA">BOTSWANA</option>
<option Value="BOUVET ISLAND">BOUVET ISLAND</option>
<option Value="BRAZIL">BRAZIL</option>
<option Value="BRUNEI">BRUNEI</option>
<option Value="BULGARIA">BULGARIA</option>
<option Value="BURKINA FASO">BURKINA FASO</option>
<option Value="BURMA">BURMA</option>
<option Value="BURUNDI">BURUNDI</option>
<option Value="CAMBODIA">CAMBODIA</option>
<option Value="CAMEROON">CAMEROON</option>
<option Value="CANARY ISLANDS">CANARY ISLANDS</option>
<option Value="CAPE VERDE">CAPE VERDE</option>
<option Value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option Value="CENTRAL AFRICAN REP">CENTRAL AFRICAN REP</option>
<option Value="CHAD">CHAD</option>
<option Value="CHANNEL ISLANDS">CHANNEL ISLANDS</option>
<option Value="CHILE">CHILE</option>
<option Value="CHINA">CHINA</option>
<option Value="COLOMBIA">COLOMBIA</option>
<option Value="COMOROS">COMOROS</option>
<option Value="CONGO">CONGO</option>
<option Value="COOK ISLANDS">COOK ISLANDS</option>
<option Value="COSTA RICA">COSTA RICA</option>
<option Value="COTE D'IVOIRE">COTE D'IVOIRE</option>
<option Value="CROATIA">CROATIA</option>
<option Value="CURACAO">CURACAO</option>
<option Value="CYPRUS">CYPRUS</option>
<option Value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option Value="DENMARK">DENMARK</option>
<option Value="DJIBOUTI">DJIBOUTI</option>
<option Value="DOMINICA">DOMINICA</option>
<option Value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
<option Value="EAST TIMOR">EAST TIMOR</option>
<option Value="ECUADOR">ECUADOR</option>
<option Value="EGYPT">EGYPT</option>
<option Value="EL SALVADOR">EL SALVADOR</option>
<option Value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
<option Value="ESTONIA">ESTONIA</option>
<option Value="ETHIOPIA">ETHIOPIA</option>
<option Value="FALKLAND ISLANDS">FALKLAND ISLANDS</option>
<option Value="FAROE ISLANDS">FAROE ISLANDS</option>
<option Value="FIJI">FIJI</option>
<option Value="FINLAND">FINLAND</option>
<option Value="FRANCE">FRANCE</option>
<option Value="FRENCH GUIANA">FRENCH GUIANA</option>
<option Value="GABON">GABON</option>
<option Value="GAMBIA">GAMBIA</option>
<option Value="GAZA STRIP">GAZA STRIP</option>
<option Value="GERMANY">GERMANY</option>
<option Value="GHANA">GHANA</option>
<option Value="GIBRALTAR">GIBRALTAR</option>
<option Value="GREECE">GREECE</option>
<option Value="GREENLAND">GREENLAND</option>
<option Value="GRENADA">GRENADA</option>
<option Value="GUADELOUPE">GUADELOUPE</option>
<option Value="GUATEMALA">GUATEMALA</option>
<option Value="GUINEA">GUINEA</option>
<option Value="GUINEA-BISSAU">GUINEA-BISSAU</option>
<option Value="GUYANA">GUYANA</option>
<option Value="HAITI">HAITI</option>
<option Value="HEARD ISLAND">HEARD ISLAND</option>
<option Value="HONDURAS">HONDURAS</option>
<option Value="HONG KONG">HONG KONG</option>
<option Value="HUNGARY">HUNGARY</option>
<option Value="ICELAND">ICELAND</option>
<option Value="INDIA">INDIA</option>
<option Value="INDONESIA">INDONESIA</option>
<option Value="IRELAND">IRELAND</option>
<option Value="ISLE OF MAN">ISLE OF MAN</option>
<option Value="ISRAEL">ISRAEL</option>
<option Value="ITALY">ITALY</option>
<option Value="JAMAICA">JAMAICA</option>
<option Value="JAN MAYEN &amp; SVALBARD">JAN MAYEN &amp; SVALBARD</option>
<option Value="JAPAN">JAPAN</option>
<option Value="JORDAN">JORDAN</option>
<option Value="KAZAKHSTAN">KAZAKHSTAN</option>
<option Value="KENYA">KENYA</option>
<option Value="KRYGYZSTAN">KRYGYZSTAN</option>
<option Value="KUWAIT">KUWAIT</option>
<option Value="LAOS">LAOS</option>
<option Value="LATVIA">LATVIA</option>
<option Value="LEBANON">LEBANON</option>
<option Value="LESOTHO">LESOTHO</option>
<option Value="LIBERIA">LIBERIA</option>
<option Value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option Value="LITHUANIA">LITHUANIA</option>
<option Value="LUXEMBOURG">LUXEMBOURG</option>
<option Value="MACEDONIA">MACEDONIA</option>
<option Value="MADAGASCAR">MADAGASCAR</option>
<option Value="MADEIRA ISLAND">MADEIRA ISLAND</option>
<option Value="MALAWI">MALAWI</option>
<option Value="MALAYSIA">MALAYSIA</option>
<option Value="MALDIVES">MALDIVES</option>
<option Value="MALI">MALI</option>
<option Value="MALTA">MALTA</option>
<option Value="MARTINIQUE">MARTINIQUE</option>
<option Value="MAURITANIA">MAURITANIA</option>
<option Value="MAURITIUS">MAURITIUS</option>
<option Value="MICRONESIA FED STATE">MICRONESIA FED STATE</option>
<option Value="MOLDOVA">MOLDOVA</option>
<option Value="MONACO">MONACO</option>
<option Value="MONGOLIA">MONGOLIA</option>
<option Value="MONTENEGRO">MONTENEGRO</option>
<option Value="MONTSERRAT">MONTSERRAT</option>
<option Value="MOROCCO">MOROCCO</option>
<option Value="MOZAMBIQUE">MOZAMBIQUE</option>
<option Value="MYANMAR">MYANMAR</option>
<option Value="NAMIBIA">NAMIBIA</option>
<option Value="NAURU">NAURU</option>
<option Value="NEPAL">NEPAL</option>
<option Value="NETHERLANDS">NETHERLANDS</option>
<option Value="NEW CALEDONIA">NEW CALEDONIA</option>
<option Value="NEW ZEALAND">NEW ZEALAND</option>
<option Value="NICARAGUA">NICARAGUA</option>
<option Value="NIGER">NIGER</option>
<option Value="NIGERIA">NIGERIA</option>
<option Value="NIUE">NIUE</option>
<option Value="NORWAY">NORWAY</option>
<option Value="OMAN">OMAN</option>
<option Value="PAKISTAN">PAKISTAN</option>
<option Value="PANAMA">PANAMA</option>
<option Value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
<option Value="PARAGUAY">PARAGUAY</option>
<option Value="PEOPLES REPUBLIC OF CHINA">PEOPLES REPUBLIC OF CHINA</option>
<option Value="PERU">PERU</option>
<option Value="PHILIPPINES">PHILIPPINES</option>
<option Value="PITCAIRN ISLAND">PITCAIRN ISLAND</option>
<option Value="POLAND">POLAND</option>
<option Value="PORTUGAL">PORTUGAL</option>
<option Value="QATAR">QATAR</option>
<option Value="REPUBLIC OF GEORGIA">REPUBLIC OF GEORGIA</option>
<option Value="REUNION ISLAND">REUNION ISLAND</option>
<option Value="ROMANIA">ROMANIA</option>
<option Value="RUSSIA">RUSSIA</option>
<option Value="RWANDA">RWANDA</option>
<option Value="SAINT PIERRE">SAINT PIERRE</option>
<option Value="SAN MARINO">SAN MARINO</option>
<option Value="SAO TOME PRINCIPE">SAO TOME PRINCIPE</option>
<option Value="SAUDI ARABIA">SAUDI ARABIA</option>
<option Value="SENEGAL">SENEGAL</option>
<option Value="SERBIA">SERBIA</option>
<option Value="SEYCHELLES">SEYCHELLES</option>
<option Value="SIERRA LEONE">SIERRA LEONE</option>
<option Value="SINGAPORE">SINGAPORE</option>
<option Value="SLOVAKIA">SLOVAKIA</option>
<option Value="SLOVENIA">SLOVENIA</option>
<option Value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
<option Value="SOMALIA">SOMALIA</option>
<option Value="SOUTH AFRICA">SOUTH AFRICA</option>
<option Value="SOUTH KOREA">SOUTH KOREA</option>
<option Value="SPAIN">SPAIN</option>
<option Value="SRI LANKA">SRI LANKA</option>
<option Value="ST BARTHELEMY">ST BARTHELEMY</option>
<option Value="ST KITTS &amp; NEVIS">ST KITTS &amp; NEVIS</option>
<option Value="SURINAME">SURINAME</option>
<option Value="SWAN ISLAND">SWAN ISLAND</option>
<option Value="SWAZILAND">SWAZILAND</option>
<option Value="SWEDEN">SWEDEN</option>
<option Value="SWITZERLAND">SWITZERLAND</option>
<option Value="TAHITI">TAHITI</option>
<option Value="TAIWAN">TAIWAN</option>
<option Value="TAJIKISTAN">TAJIKISTAN</option>
<option Value="TANZANIA">TANZANIA</option>
<option Value="THAILAND">THAILAND</option>
<option Value="TOGO">TOGO</option>
<option Value="TOKELAU">TOKELAU</option>
<option Value="TONGA">TONGA</option>
<option Value="TRINIDAD &amp; TOBAGO">TRINIDAD &amp; TOBAGO</option>
<option Value="TRISTAN DA CUNHA">TRISTAN DA CUNHA</option>
<option Value="TUNISIA">TUNISIA</option>
<option Value="TURKEY">TURKEY</option>
<option Value="TURKMENISTAN">TURKMENISTAN</option>
<option Value="TURKS &amp; CAICOS ISLAND">TURKS &amp; CAICOS ISLAND</option>
<option Value="UGANDA">UGANDA</option>
<option Value="UKRAINE">UKRAINE</option>
<option Value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option Value="UNITED KINGDOM">UNITED KINGDOM</option>
<option Value="UPPER VOLTA">UPPER VOLTA</option>
<option Value="URUGUAY">URUGUAY</option>
<option Value="UZBEKISTAN">UZBEKISTAN</option>
<option Value="VANUATU">VANUATU</option>
<option Value="VATICAN CITY">VATICAN CITY</option>
<option Value="VENEZUELA">VENEZUELA</option>
<option Value="VIETNAM">VIETNAM</option>
<option Value="VIRGIN ISLANDS">VIRGIN ISLANDS</option>
<option Value="WALLIS FUTUNA">WALLIS FUTUNA</option>
<option Value="WESTERN SAHARA">WESTERN SAHARA</option>
<option Value="WESTERN SAMOA">WESTERN SAMOA</option>
<option Value="YEMEN">YEMEN</option>
<option Value="ZAMBIA">ZAMBIA</option>
<option Value="ZIMBABWE">ZIMBABWE</option>
<option Value="OTHER, NOT LISTED">OTHER, NOT LISTED</option></select>
	                        <font color="#CC0000"> *</font> </td>
							</td></tr>                        
                        
                        
                        
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                <font size="3" color="green">Go green, go digital!</font color></font size>
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<td bgcolor="#FFFFFF"><div id="main_div"><span class="headliner_b_size">About You and Your Company</span><br>
    
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<td valign="top" colspan="2"><span class="headliner_c_size"><b>Does your company operate chain restaurants or hotels?</b></span></td>
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<td valign="top" colspan="2"><span class="headliner_c_size"><b>How many establishments are you responsible for?</b></span></td>
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<td colspan="2">
</td>
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<td valign="top"><select name="9434"><option value="">Select One</option>
<option value="10">Over 200 Units</option>
<option value="11">50-199 Units</option>
<option value="12">10-49 Units</option>
<option value="13">2-9 Units</option>
<option value="14">Less than 2 Units</option></select></td>
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<td valign="top" colspan="2"><span class="headliner_c_size"><b>Which concepts does your company operate? (check ALL that apply)</b></span></td>
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</td>
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<td valign="center">Quick Service Restaurants</td>
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<td valign="center">Fast Casual Restaurants</td>
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<td valign="center">Full Service Restaurants, including hotels with foodservice</td>
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<td valign="center" colspan="10" height="10"></td>
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<td valign="top" colspan="2"><span class="headliner_c_size"><b>Which of the following products or services are you involved in the purchase of? (Check ALL that apply)</b></span></td>
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<td valign="center">Food</td>
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<td valign="center">Beverage</td>
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<td valign="center">Equipment</td>
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<td valign="center">Furniture/Fixtures</td>
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<td valign="center">Paper/Plastic Goods</td>
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<td valign="center">Cleaning Supplies/Chemicals</td>
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<td valign="center" colspan="10" height="10"></td>
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<td colspan="10" align="center" valign="center"><input type="checkbox" name="41" value="41">None of the Above</td>
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<td valign="top" colspan="2"><span class="headliner_c_size"><b>Which publications do you receive? (check ALL that apply)</b></span></td>
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<td valign="top" colspan="2"><span class="headliner_c_size"><b><b>BONUS OFFER</b> - In addition to your magazine subscription, which of these FREE eNewsletters would you like to receive? (check ALL that apply)</b></span></td>
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<td valign="center"><input type="checkbox" name="100" value="100"></td>
<td valign="center"><b>Chain Leader Executive Briefing</b> - Written for foodservice executives (Sent twice a month)</td>
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<td valign="center"><b>Quick Service Reporter</b> - Written specifically for limited-service restaurant operators (Sent monthly)</td>
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<td valign="top" colspan="2"><span class="headliner_c_size"><b><b>BONUS OFFER</b> - Here are some other FREE eNewsletters that may be of interest to you.  Which of the following would you like to receive?  (check ALL that apply)</b></span></td>
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<td valign="center"><input type="checkbox" name="200" value="200"></td>
<td valign="center"><b>Newsbites from <i>Restaurants & Institutions </i>-</b> Daily briefing on the day's top foodservice news</td>
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<td valign="top"><input type="checkbox" name="201" value="201"></td>
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<td valign="center"><b>Noncom Niche from <i>Restaurants & Institutions </i>-</b> Written for the noncommercial segment (Sent monthly)</td>
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<td valign="top"><input type="checkbox" name="203" value="203"></td>
<td valign="center"><b>R&I Beverage Briefing from <i>Restaurants & Institutions</i></b> - (Sent monthly)</td>
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<td valign="top"><input type="checkbox" name="204" value="204"></td>
<td valign="center"><b>Regional Cuisines from <i> Restaurants & Institutions </i></b> - Coverage on Southwestern, Tex-Mex, Mexican and more cuisines (Sent monthly)</td>
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<td valign="top"><input type="checkbox" name="212" value="212"></td>
<td valign="center"><b>eBurger eBurger from <i>Restaurants & Institutions</i> </b> - The latest burger trends - from proteins to toppings, side dishes, beverages, service styles and more (Sent monthly)</td>
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<td valign="top"><input type="checkbox" name="205" value="205"></td>
<td valign="center"><b>FlashNews from <i>Foodservice Equipment & Supplies </i>-</b> Weekly update on the latest foodservice equipment news</td>
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<td valign="top"><input type="checkbox" name="206" value="206"></td>
<td valign="center"><b>The Specifier from <i>Foodservice Equipment & Supplies </i>-</b> Refresher courses for specifiers: product overviews, regulation updates and more (Sent monthly)</td>
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<td valign="top"><input type="checkbox" name="207" value="207"></td>
<td valign="center"><b>When to Replace from <i>Foodservice Equipment & Supplies </i>-</b> Information for replacing pieces of equipment due to age, menu changes or other factors (Sent monthly)</td>
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<td valign="top"><input type="checkbox" name="208" value="208"></td>
<td valign="center"><b>eProduct Trends from <i>Foodservice Equipment & Supplies </i>-</b> The latest foodservice equipment and supplies product information (Sent quarterly)</td>
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<td valign="top"><input type="checkbox" name="209" value="209"></td>
<td valign="center"><b>Service Insights from <i>Foodservice Equipment & Supplies </i></b> - Keeps foodservice operators informed about equipment service and performance; includes white papers (Sent quarterly)</td>
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<td valign="top"><input type="checkbox" name="210" value="210"></td>
<td valign="center"><b>Hotels' Daily News Service from <i>HOTELS </i></td>
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<td valign="top"><input type="checkbox" name="211" value="211"></td>
<td valign="center"><b>HOTELS Food & Beverage Bites from <i>HOTELS </i>-</b> Written for food and beverage professionals (Sent monthly)</td>
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