REGISTRATION FORM
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 PROGRAM:  LENDER'S TOOLBOX for DOS <3.0s/w>

 MAIL TO:  E. G. Collins
           2300 EDENBORN #147 II
           METAIRIE, LA   70001


 Your Name:__________________________________________________


 Company:  __________________________________________________


 Address:  __________________________________________________

           __________________________________________________


 City, State, Zip:  _________________________________________


 Daytime Phone No:  (       ) _______________________________


 ====================  PLEASE SEND ME:  =====================

 ______ copies of Lender's Toolbox @ $35.00 ea  $ ___________

        Shipping & handling (each copy) @ $3.00 $ ___________

                          TOTAL AMOUNT ENCLOSED $ ___________


 *DISK SIZE NEEDED: [] 5 1/4" 360K  [] 5 1/4" 1.2M  [] 3 1/2"


 ======> PLEASE MAKE CHECKS PAYABLE TO: E. G. COLLINS <======
 * Foreign orders: Remit fee in US Dollars drawn on US Bank *
  << Please note: Windows version also available for $35 >>

 Where did you hear about this program? _____________________

 Comments/Questions: ________________________________________

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      T H A N K   Y O U   F O R   R E G I S T E R I N G !