INTERNET DIRECTORY APPLICATION

Please complete the following form if you wish to have your name, e-mail and web page addresses published in the Honeywell/AlliedSignal Retiree's Internet Directory. NOTE: Participation in this directory is voluntary. Honeywell and the employees thereof, and H/AREA and the members, organizers, sponsors, officers, directors and volunteers thereof, shall not be held responsible for and you hereby release such entities and individuals from any liability or damages (including consequential damages) associated with a listing in this directory.

NAME:__________________________________________________________
(as you wish it to appear in the Internet Directory)

e-mail address ________________________________

Web page address ______________________________

Honeywell/AlliedSignal or predecessor company Work unit (division/company) and location(s):
Work Unit(s) / City & State
________________________________ ______________________

________________________________ ______________________

________________________________ ______________________

Signature: _____________________________