SEMINAR REGISTRATION FORM
To Register complete this form and Click Send. Print the Confirmation Page and send a copy with your Cheque/Cheque payable to CollectAR, Inc and mail to: 4261-A14 Highway 7, East, Suite 885. Markham, Ontario, L3R 9W6 Canada.

Last Name    * Required   First Name:   * Required
Address 1:        Suite#: 
Address 2:        Suite#: 
           City:       State/Province:    Zip/Postal Code:
Business Phone:    * Required                                   Direct Line Phone:   Ext:
 E-mail:               Fax:       

                                          Please Check Appropriate Seminar Box:  

Pre-registration required to allow time for you to receive the pre-work material and seminar workbook by mail.