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e-Samuel > Register Wednesday, April 13, 2000
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  Personal Information
Name :
First Name
Middle Name
Last Name
Gender : Male Female
Home :
Address
Phone Fax.
ZIP Code
Business :
Address
Phone Fax.
ZIP Code
Mailing Address Preference :
Home Business
Occupation : Executive/Director/
Manager
Sales/Marketing
        Professional Tradesman/Craftsman
Academic/Educator College/Graduate Student
Comp. Technical/ Engineer Self Employed/Own Company
Other Technical/ Engineer Unemployed/Looking for Work
Service/Customer Support Retired
Clerical/Technical Support
Other, Please define
Industry : Banking/Finance/Real Estate Medical/Health Service
        Computer (IS, MIS, Internet) Entertainment/Media Publishing
Computer (Software) Hospitality
Computer (Hardware) Consumer Retail/Wholesale
Education/Research Nonprofit/Membership Org.
Engineering/
Construction
Government
Manufacturing/
Distribution
Legal Service
Business Supplies/Services None, not employed
Other, Please define
Income per year: under Rp 25,000,000
        over Rp 25,000,000 to Rp 50,000,000
over Rp 50,000,000 to Rp 100,000,000
over Rp 100,000,000 to Rp 200,000,000
over Rp 200,000,000
Latest Education : High School Graduate
        Bachelor Post Graduate
Other
Interest : Indoor Sport Travelling
        Outdoor Sport Movie
Music Reading
Other
  Investment Profile
Knowledge of Investment
Local Market Poor Good
        Limited Extensive
International Market Poor Good
        Limited Extensive
News/Research
Interest Capital Market Money Market
        Industry Company
Language Indonesia English
        Other
Investment currently owned or have owned in the past
        Money Market or cash equivalent
Stock or Stock Funds
Bonds or Bond Funds
International securities or funds
When deciding how to invest your money, you will choose
        Low Risk Low Return High Risk Low Return
Low Risk High Return High Risk High Return
If stock market has just drop 20% and so are your stocks, you will
        Sell all Keep all
Sell some Buy more
  About Samuel
How do you know Samuel?
                from Magazine from Friends
from Newspaper/tabloids from Internet
Other
What product of Samuel are you interested in?
                Stock Brokerage Bonds Brokerage
SAM Mutual Funds
Other
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