CIS World Wide Sales Group

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Consultant Application

Please complete the electronic form below to submit your application to the CIS Technical committee for review and approval.

Contact Information
Name:
Street Address:
City:
State:
Country:
Zip:
Telephone:
Cellular:
E-Mail:
Web Site:

Industry Codes for Certification
	Warehousing Distribution and Logistics CIS-001
	Electronic Manufacturing CIS-002
	General Manufacturing CIS-003
	Chemical CIS-004
	Food Manufacturing CIS-005
	Food Farming CIS-006
	Aerospace CIS-007
	Automotive CIS-008
	Service Industry CIS-009
	Design CIS-010

Describe Your Work Experience Specific to Each Industry

List Degrees and Courses

Institute	Degree/Certificate	Year

Enter Customer (Work Performed) References
Customer Name	Contact	Phone Number

By clicking the submit button below, I agree that all of the information entered on this form is accurate and true.

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