Appliance Analysis, Inc.

Credentials – CV Request Form

To receive a copy of Keith Beecher’s résumé (CV) via email, please fill out the form below. For legal reasons we maintain a record of who has requested this CV. However we never use this information for marketing purposes and are committed to your privacy.

Fields marked with a * are required.

* Name
Company Name
* E-mail
* Re-type email to confirm
* Phone
* Address	$
* City
* State
* Zip

Technical Note: When the user hits submit, the form fields will be validated. Assuming validation is successful, an email should be sent to the user with Keith’s CV as a PDF attachment. We want to embed a tracking number in the CV so that if the CV ever winds up in a court case, Keith can cross-reference the source. The tracking number should be embedded in two places: (1) In parentheses on the line that says “Principles of Refrigeration and Electricity III”; (2) In parentheses on the line that says “Rescue Squad.” The number should be a sequential number starting with 3171. In addition to sending the user the email with the CV, send a receipt to Keith.