1. Fax: to 1-973-736-3930 with your Visa or Mastercard information and signature.

2. Phone: call 1-973-736-1304. Give us all the information below.

3. Mail: a check with the completed enrollment form to:
Axelrod Learning - 14 Seaman Road - West Orange, NJ 07052

Name _____________________________________________________________________

Address ___________________________________________________________________

City ________________________________ State _____________ Zip _________________

Day Phone _________________________________________________________________

Eve Phone _________________________________________________________________

Fax # _____________________________________________________________________

Email _____________________________________________________________________

Two-Payment Plan. I deposit $500 now, and reserve my spot in the tele-training (also on tape). When I'm ready to run profiles, I pay $620 ($595 plus $25 shipping and start-up).

With installment arrangement, Profile Starter Account will be activated when tuition is paid in full.

Full-Pay Plan. I pay $995 in full now (plus $25 shipping and start-up), for a total of $1,020. I save $100. I receive training, instant Account Activation and the audios so I can get started right away.

______ Here's my check for $ ___________ payable to Axelrod & Associates.

______ Please bill $ ____________ to my Visa or MasterCard (circle one)

Card # __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Expires ___/___ Signature ______________________________________________________