Real-Time
Trader's 
Workshop
An Intensive Four-Day Workshop 
For Serious Futures and Stock Traders
  May 19- 22, 2012 -  Scottsdale, AZ

Registration by Fax

First Name:  ________________  if couple, second name: ________________
Last Name:  ________________ 
Street Address:  _________________________
City:   _____________________
State:   _______
ZIP:   ________
E-Mail Address:   _________________________
Telephone:   (______) _____________________
Payment Method:   _________________ ( Visa, MC, Discover)
Card No.:   _____________________________
Expiration Date: __________
Card Security Code:  __________ 
MC: 3 digits on rear after acct # - Visa: 3 digits on rear after acct #
How did you learn about the workshop:   _______________________________
_________________________________________________________________
Promotional Code:  ____________________
Print this form, complete and fax to: 520-505-9428.
Thank you for registering.
Cancellation/Refund Policy: If cancellation occurs on or before April 30, 2012, the registration fee is refundable.  There are no refunds for cancellations after April 30, 2012. ______________________________
Your Signature