PFA Loan Packaging & Funding Program
REGISTRATION Form

                       PRINT 0UT MAIL-IN or FAX-IN
Please fill out, Print out, Enclose Check or Money Order &Mail to:
PFA - Box: 697-WB- Dana Point, CA 92629 - USA
                                               OR
Please fill out, Print out and Include Your Credit Card # &Fax to:
                           (714) 242-1458


__ OK PFA..Assoiate Broker Status Accepted - EXPAND MY BROKERAGE! Here's my specially reduced Registration of only $150.00 US FUNDS ONLY (I save $100!) Rush the complete PFA  LOAN PACKAGING & FUNDING PROGRAM with the FREE World-Wide Lenders Lists & 1 years Free Access the the PFA Extra-Net ... NOW!
COMPANY NAME
: ____________________________________
YOUR FULL NAME: ___________________________________
ADDRESS: ___________________________________________
______________________________________________________
CITY/STATE/ZIP-POSTAL CODE: ________________________
E-MAIL ADDRESS: ___________________________________
DAYTIME - WORK PHONE # ___________________________
EVENING - HOME PHONE # ___________________________
All Registrations must include
CHECK, MONEY ORDER OR CHARGE to:
__MasterCard __Visa __ AmEx __ Optima __ Diners__ CarteBlanche__Discover
Credit Card # __________________________ Exp. Date_______
Signature _____________________________________________
Outside USA please add $49 for Air Shipment-Otherwise sent via Ship
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