Seminar Registration Form

SEMINAR WORKSHOP MATERIAL ORDER FORM
Complete this form, print, sign the purchaser authorization section and mail to CollectAR, Inc. with your check/cheque payable to CollectAR, Inc. to 4261-A14 Highway 7 East, Suite 885, Markham Ontario, L3R 9W6. Canada.

First Name Last Name

Company Name:
     Address: Apt/Suite#:
     City:       State/Province:    Zip/Postal Code:
Office Phone:    Ext: Fax:
E-mail:

CollectAR, Inc. 4261-A14 Highway 7 East, Suite 885, Markham Ontario, L3R 9W6. Canada.: Phone: data_integrity.htm
Purchaser Authorization Signature:

SEMINAR WORKSHOP MATERIAL ORDER FORM Complete this form, print, sign the purchaser authorization section and mail to CollectAR, Inc. with your check/cheque payable to CollectAR, Inc. to 4261-A14 Highway 7 East, Suite 885, Markham Ontario, L3R 9W6. Canada.

SEMINAR WORKSHOP MATERIAL ORDER FORM
Complete this form, print, sign the purchaser authorization section and mail to CollectAR, Inc. with your check/cheque payable to CollectAR, Inc. to 4261-A14 Highway 7 East, Suite 885, Markham Ontario, L3R 9W6. Canada.