*By submitting this electronic form, I agree not to disclose the name or circumstances of any parties introduced to me by AFTCO for consideration of any practice opportunity. I also agree that all information provided by AFTCO is confidential and agree not to disclose to anyone or make copies of any of the information, ideas, procedures, practice opportunities, programs, concepts, contract and/or other data conveyed and entrusted to me without the prior written consent of AFTCO. In addition, I also agree that, upon request by AFTCO, any projections, calculations, word descriptions, and tangible material given to me relating to any practice opportunity will be immediately returned to AFTCO.