Indiana Ghost Doctors Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=90 BGCOLOR="#006699" TEXT="#080000" background="044785a3.jpg"> <div> <FONT SIZE="5" COLOR="#CC0000" FACE="Arial" ><B>Indiana Ghost Doctors</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="Indiana Ghost Doctors"><U><B>home</B></U></A></div> <bR> <div> </div> </td> </tr><tr> <td valign="top" height=390 BGCOLOR="#111111" TEXT="#F7F7FF"> <div> <I><B>Would you or your team like to be part of </B></I></div> <div> <I><B>Indiana Ghost Doctors</B></I></div> <div> <I><B>Copy the registration form that applies to you and Email it back to </B></I></div> <div> <I><B>Indianaghostdoctors@yahoo.com</B></I></div> <bR> <div> <I><B>Standard Application</B></I></div> <bR> <div> <B> Persons Name:</B></div> <bR> <div> <B> Age:</B></div> <bR> <div> <B>Birth date:</B></div> <bR> <div> <B>Address:</B></div> <bR> <div> <B>Home Phone Number:</B></div> <bR> <div> <B>Cell Phone Number:</B></div> <bR> <div> <B>Emergency Phone Number:</B></div> <bR> <div> <B>Email Address:</B></div> <bR> <div> <B>Current Employment:</B></div> <div> <B>          ( Company Name / Adress and Phone Number )</B></div> <bR> <div> <B>Medical conditions we need to be aware of ?</B></div> <bR> <bR> <div> <B>Any Felony convictions in the last two years ? </B></div> <bR> <bR> <div> <B>Why do you / Your Group want to be part of our organization ?</B></div> <bR> <bR> <div> <B>What Paranormal Experiences have you had, If any ?</B></div> <bR> <bR> <div> <B>What can Indiana Ghost Doctors do for you ?</B></div> <bR> <bR> <bR> <bR> <bR> <div> <B>Team Application</B></div> <bR> <div> <B>Team Name:</B></div> <bR> <bR> <div> <B> Founders and Co-Founder Names:</B></div> <bR> <bR> <div> <B>Date Your Team was Founded:</B></div> <bR> <bR> <div> <B>Home Phone Number:</B></div> <bR> <bR> <div> <B>Cell Phone Number:</B></div> <bR> <bR> <div> <B>Email Address/ Website:</B></div> <bR> <bR> <div> <B>Why do you / Your Group want to be part of our organization ?</B></div> <bR> <bR> <div> <B>What Paranormal Experiences have you had, If any ?</B></div> <bR> <bR> <div> <B>What can Indiana Ghost Doctors do for you ?</B></div> <bR> <bR> <bR> </td> </tr></table></body>