Las Vegas Seminars - Register by Mail or Fax

To register by mail, print and fill out this form. Then return it to us with your payment. We'll email you on receipt of your payment to let you know your seating is confirmed. Back to main online registration page.
The information on this form will be processed and then shredded for your protection.

Your Information

Name ____________________________________________________________

Name ____________________________________________________________

Phone ___________________________ Cell ___________________ Email ______________________

Street _________________________________

City ______________________________ state ____________________ zip __________________

Name of seminar _____________________________ Date of Seminar _______________________

Payment Information

Paying by __ check __ Credit Card

Credit card: __ visa __ master card Card # ________ / _________/ _________/ __________

Amount to charge $__________________ Expiration date __________________

Signature _______________________________________________________

If you're mailing in a check - Make check payable to Alexander Industries Inc.

Amount enclosed $ ____________________

Terms and Agreement

__ I have read and agree to the terms and conditions of enrollment.

Your Signature ____________________________________________________

Mail to: Alexander Industries Inc. 5836 S. Pecos #304, Las Vegas, NV, 89120
For assistance call 702-898-7247 or Toll FREE 866-608-7247 Fax to: 702-898-1939