           LOAN AND MORTGAGE REGISTRATION ORDER FORM
           -----------------------------------------

  All registrations are subject to the FELITEC SOFTWARE 
  LICENSE AGREEMENT.

  To register using a credit card either by phone, fax or 
  directly through Internet, please visit our web site at 
  http://www.felitec.com/lam.html.

  To register Loan and Mortgage by cheque or money order:

  1- Print this form (select the 'Print' option of the 'File' 
     pull-down menu)
  2- Fill the form and write your CHEQUE or MONEY ORDER in
     American funds ($US) or Canadian funds ($CDN) payable 
     to FELITEC Inc.
  3- Send the form with your payment to:

	FELITEC Inc., 
	Registration Division
	Suite 44, 4607 Kingsway 
	Burnaby BC   V5H 2B3 
	CANADA
_____________________________________________________________________

  Registration details: (Please print)

			QTY	 $US	 $CDN	     	       
       Single license:   1   at 19.95 or 27.95 = _______ 
    2 to   9 licences:  ___  at 15.95 or 22.35 = _______ 
   10 to  24 licenses:  ___  at 12.95 or 18.15 = _______ 
   25 to  49 licenses:  ___  at 10.95 or 15.35 = _______ 
   50 to  99 licenses:  ___  at  9.95 or 13.95 = _______ 
  100 or +++ licenses:  ___  at  8.95 or 12.55 = _______ 

	Canadian residents only:
	   NB, NF and NS residents add 15% HST = _______
	       All other provinces add  7% GST = _______
		      BC residents add  7% PST = _______

		Total Payment (__$US / __$CDN) = _______

        First Name: ________________ Last Name: ____________________
           Company: ________________________________________________
           Address: ________________________________________________
  City, State/Prov: ________________________________________________
   Zip/Postal Code: ________________   Country: ____________________
             Phone: ________________       Fax: ____________________
    E-mail address: ________________________________________________

  How did you hear about Loan and Mortgage: ________________________
  Comments: ________________________________________________________
  __________________________________________________________________
  __________________________________________________________________
  __________________________________________________________________
  __________________________________________________________________

	   THANK YOU FOR REGISTERING LOAN AND MORTGAGE