GLOBAL DENVER® DIPLOMAT

INDUSTRY CONTACT REPORT

Date of Contact:______________________

Type of Contact: PERSONAL  VISIT    OR    TELEPHONE  CONTACT (circle one)

Contact Category: (circle one of three choices below)

Out-Of-State Business:

Existing Colorado Business:

Internationally Based Business:

Company Name: _________________________________________________________

Address: _________________________________________________________

City/State/Zip/Country: _________________________________________________________

Executive's Name and Title: _________________________________________________________

Phone Number: _________________________________________________________

Email address of contact person:

COMMENTS/DISCUSSION _________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

SUGGESTED FURTHER ACTION: _________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

SUBMITTED BY: Global Denver® Diplomat: __________________________________________

Telephone Number: ______________________________________________________

Return This Form to:

John H. Barksdale, Executive Director

GLOBAL DENVER® Diplomats

Phone: (303) 918-7030

© Copyright, 2001-2009 Global Denver Inc. All rights reserved worldwide.

Global Denver ® is a registered trademark of Global Denver, Inc.