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Name

First Name

Last Name

Phone

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Account Number

Do you currently hold a live trading account with our partner broker JDR Securities?

Gender

Level of Expertise

What level of experience do you have in forex trading?

How did you hear about this program?

Were you referred by someone?

If yes, kindly indicate the name. If no, simple type N/A.

Account Manager

Who is your current BDM (Business Development Manager) / Account Manager?

City and Region

Help us decide where to hold our Live Trading Workshops in the Philippines. From what region are you from?

Message

Let us know how can we help you better.

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JDR The Ultimate

Trading Experience

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