Please print out the following form, fill it out and mail or fax to:

Lenders' Podium
20660 Stevens Creek Blvd., Suite 238
Cupertino, CA 95014
Fax: 415-707-6800

or
Purchase Online


Yes, I am ordering Audio CDs and Legal Forms from this conference*
Also attending or have attended Commercial Loan Workouts Conference 
Audio CDs $795
Legal Forms Notebook $595
NOTE: One copy of the Legal Forms notebook is included in the course materials. 
Combo (Audio CDs and Legal Forms Notebook) $995
Not attending the Commercial Loan Workouts Conference 
Audio CDs $995
Legal Forms Notebook $695
Combo (Audio CDs and Legal Forms Notebook) $1,295
* California residents will be charged 7.75% sales tax.
*Non-Refundable (refer to the Audio CDs page under "Order Policy" for details)

First Name . . . . . . . . . . . . . . . . . . . . . . . .
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Type of Business . . . . . . . . . . . . . . . . . . . . . . . .
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Street Address . . . . . . . . . . . . . . . . . . . . . . . .
City . . . . . . . . . . . . . . . . . . . . . . . .
State . . . . . . . . . . . . . . . . . . . . . . . .
Zip . . . . . . . . . . . . . . . . . . . . . . . .
Tel. . . . . . . . . . . . . . . . . . . . . . . . .
Fax . . . . . . . . . . . . . . . . . . . . . . . .
E-mail . . . . . . . . . . . . . . . . . . . . . . . .
Make check payable to: Lenders' Podium, or
Bill my credit card:American Express Visa MasterCard Discover Card Diners Club

Credit Card Number:
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Exp. Date
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Security Code (CVV2 / CVC2):

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Credit Card Billing Address:

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Name on Credit Card

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Signature

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I would like to receive credits for CLE (for attorneys only) in the state of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

How did you hear about these products?

Received a 5 panel brochure in the mail

Received a 2 panel brochure in the mail

            Please refer to back panel of the brochure near your address and check one:

          ABBP-LW1     BFLO-LW1    BZ-LW1         CCR-LW1     CO-LW1

      DCM-LW1      FM-LW1        MHBP-LW1   TAM-LW1

Other: (Please specify)______________________________________________