Seminar-Workshop Referral Form

The PC Builders Club in its effort to promote Information Technology from the grassroots level has conceptualized this commission based referral scheme.  You may enter as many persons as you'd like and you'll get a minimum payment for every qualified referral and substantial commission for every referrals who actually attended the seminar.

Please identify yourself:

First Name
Last Name
Middle Initial
Username

Please provide the contact information of the person you would like to refer (if you are applying for more than one person please fill-up again):

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
FAX
E-mail
The Personal Computer Builders Club, Inc.
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Revised: April 11, 2000