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Name:
Address:
City, State, Zip:
Telephone Number:
FAX Number:
E-Mail Address:
 
Best Time to Call: A.M. P.M.
 
Have you Traded
Futures Before? No Yes
 
Are you
Trading now? No Yes
 
Have you Ever Taken
a Futures Trading Course? No Yes
 
If so, which course?
 
Your Age: 21-30 31-50 51-65 65+
   
Approx. size of 10-20K.............20K-50K......50K-100K
Equity/Bond Portfolio 100K-250K .....250K-500K .500K+


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