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Name:
Address:
City, State, Zip:
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Best Time to Call: A.M. P.M.
 
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Futures Before? No Yes
 
Are you
Trading now? No Yes
 
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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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