Florida Boot Camp
Registration Form

Use the form below to pre-register for our Florida Boot Camp
Ft. Lauderdale, Friday 4/25/03 - Sunday 4/27/03.
Location: Holiday Inn Ft. Lauderdale Beach Resort, Ft. Lauderdale, FL

Please be sure you print this form out and send it to us along with your deposit of $100 per person.
Once we receive your deposit, we will e-mail the room registration information to you.

 

Subject:
First Name:
Last Name:
Phone No.:
E-mail Address:
Home Address:
City:
State:
Zip:

Yes, I want to attend Mr. Real Estate's Boot Camp.

I will be bringing a guest.

Guest's Name:

Check one of the boxes below if you would be interested in purchasing videos of the seminar:

Yes, I would be interested in purchasing the videos.

No, I would not be interested in purchasing the videos.

If you have any additional topics you would like to see covered, type them in below.


Don't forget to print out this form and return it to us along WITH your Check or Money Order for your DEPOSIT ($100 for you - $200 for you and a guest).


Make your check or money order payble to:
Road to Wealth, Inc.
4631 NW 31st Ave., Ste. 136
Ft. Lauderdale, FL 33309

You can call us at 561-883-2222 if you have any questions.

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