Text Formatted Registration/Order Form

Fax completed form to (512) 258-0087

Name ___________________________ Title ____________________________
Company ___________________________________________________________
Address ___________________________________________________________
City _________________________ State / Prov _______________________
Zip/P.C. _________________ Fax ________________ E-Mail ____________

__ Please enroll me in the following course:
    __ Forecasting, Planning, & Managing Technology     Dates _____
    __ Technology Forecasting for the Telecom Industry  Dates _____
    __ Quantitative Technology/Market Forecasting       Dates _____

__ Please send me information about Technology Futures, Inc.
   
__ I want to order the following publication(s):
    
   
 Quantity|               Title                 | Unit Price | Total
 ------------------------------------------------------------------
         |                                     |            |
 ------------------------------------------------------------------
         |                                     |            |
 ------------------------------------------------------------------
         |                                     |            |        
 ------------------------------------------------------------------
         |                                     |            |      
 ------------------------------------------------------------------
 Texas Residents, Add 7.25% (Austin, TX 8.25%) Sales Tax    |
 ------------------------------------------------------------------
 TOTAL                                                      |
 ------------------------------------------------------------------
 __ Bill Me     P.O. Number ________________
 __ Check Enclosed (Make Payable in U.S. Dollars to Technology Futures, Inc.)
 __ VISA     __ MasterCard    __ American Express
 Card # ____________________________________________ Exp. _________
 Signature ________________________________________________________