Setting New Standards for "Bureau Friendly"!

REMEMBER: your Bureau Xpress™ site will be customized with your name and contact information as well as that of your bureau.

Welcome to Bureau Xpress ™! This membership application typically takes no more than three minutes to complete (all fields mandatory). Please be assured that your membership information will be kept strictly confidential and never shared, rented or sold to any third party.

Upon submission you will recieve a copy of your submission details and be given instant access to your new Bureau Xpress ™ account. You will then be able to immediately start sending a special "bureau-friendly" version of Michael's site to your clients. This means everything on his site including his speaker one-sheet, program descriptions, articles and videos are fully customized with your exclusive contact information.

Congratulations on entering the 21st century of bureau-friendly. And remember, your Bureau Xpress ™ membership is absolutely free!

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YOUR BUREAU PARTICULARS

* Bureau Name:

* Years in business:

* Your typical fee:

What sets your bureau apart from the others?:

Industries you specialize in:

Types of speakers you specialize in offering:

YOUR CONTACT INFORMATION

* First Name:

* Last Name:

* Address:

Address 2:

* City:

* State / Province: Choose AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaOhioOklahomaOntarioOregonOther StatePEIPennyslvaniaQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWashington, DCWest VirginiaWisconsinWyomingYukon

* Postal Code:

* Email Address:

* Phone:

Fax:

* Country: ChooseUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorfolk IslandNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

Website:

Your Site Details

Choose a branding name for your Bureau Xpress™ site.

* http://www.bureauxpress.com/

YOUR LOGIN INFORMATION

* Choose a password for purposes of logging into your Bureau Express™ account:

* Confirm password:

(6-10 characters,numbers or letters only)

NOTE: Your login username will be your email address given above.

Send Now!

That's all there is to it! When you click the Submit button below this form will first... make sure that all the necessary fields have been completed,
then... it will send you a copy of your application via e-mail within just a few minutes.