To debit
your account: Click the "Print" button to
print this form, sign it, and fax it to 970-663-1767 NOTE: You must download, sign, and fax the Market Center agreement in red below in addition to this Fax Order Form. Don't forget to fill in your account number on the form Download Market Center Direct Agreement
Pay month-by-month, or save $$ using the Pre-pay method. ____ Per month $25.00 ____
Pre-pay 6 Months $135.00 (save $15) I,____________________________________________________,
hereby authorize Traders Network Inc. to debit _______________________________________________________________________
date: __________________
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