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* * Please Print Out This Form and Return with Your Order 

When you Register, you will get:

  1) FREE Bonus Program - 300+ Wholesale Sources Directory on disk.
     (Regularly sold for $19.95 by itself!)
  
  2) Ideas for 70 Businesses which work Best for a Home Business.
  
  3) Information on How to Set up Your, Taxes, Bookkeeping, Office, etc.

  4) How to Market Your Business.

  5) How to Establish Good Credit.

  And much more!  This disk-based book is everything you need to successfully
operate a profitable business from your own home!

=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
                               REGISTRATION FORM
                          For: "Home Business Success"
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=

Circle Your Payment Choice:  Check - Money Order - Master/Visa Card

The Program Will Be Registered and Sent to the Name of the Person Below:

NAME:_________________________________________________

ADDRESS:___________________________________________________________________

CITY:____________________________________STATE:______ZIP CODE:_________________

Master/Visa card number:___________/___________/_____________/___________

Card Expiration Date:_______/_______
                      Month   Year

Daytime Telephone number:(______)_______-___________


Registration Fee is $24.95 for a single person registration.

Registration Fee is $129.95 for every 10 computers in a single organization.
(Site license provided)

Send This Form and Appropriate Fees To:

                                 LongLastings
                                 PO Box  519
                          Coupeville, WA  98239-0519

               <*><*><*><*> Thank You For Your Order <*><*><*><*>