MTS             Registration Form

                                                      PLEASE PRINT

Pricing Schedule:  One day seminar priced at $235.00

                                 Two day seminar priced at $425.00

                                 Discount provided of $30.00 per person if 4 or more employees attend the same seminar

Enrollment form:

            Attendee                                              e-mail address                            Seminar date

_____________________________     _________________________       ____________

_____________________________     _________________________       ____________

_____________________________     _________________________       ____________

_____________________________     _________________________       ____________

Company Information:

Company Name: _________________________________________________________

Mailing Address: _________________________________________________________

                             _______________________________________________________

Telephone #: _______________________ Fax #: _______________________________

 Method of payment:                                                  Total Due: $_____________________

_______________check enclosed                  

_______________please bill our company, send invoice attention of_________________

_______________charge my VISA/MC account as authorized below:

            Card holder name: ___________________________________________

            Billing Address:     ___________________________________________

                                        ___________________________________________

             Card #   ____________________________________ Exp. Date: _____________

I hereby authorize Mortgage Training Solutions to charge my account:

            Signature: ________________________________________

Please make checks payable and mail to:

     Mortgage Training Solutions, Inc.      or fax to 207-449-1532

     PO Box 2333

     Lewiston, ME  04241