ORDER FORM
To order a copy of the FDIC’s Trust Examination Manual (CD-ROM), please print or type the following information. For further information on ordering procedures, call 800-276-6003 or (703) 562-2200.
| Institution Name: | _________________________________ |
| Contact Person: | _________________________________ |
| Street Address: | _________________________________ |
| City, State, Zip Code: | _________________________________ |
| Daytime Telephone: | _________________________________ |
| Additional Quantity Ordered: | ___________ (at $100 each) |
| Total Amount Enclosed: | ____________ |
|
PLEASE MAIL THIS
ORDER FORM
AND CHECK OR MONEY ORDER TO: |
Federal Deposit
Insurance Corporation
Department Number 0670 Washington, D.C. 20073 |
| FOR CREDIT CARD ORDERS, PLEASE FAX FORM TO (703) 562-2296. | |
| Visa: ____ M/C: ____ | |
| Card No: ___________________________ | |
| Expiration Date: _____________________ | |
| Name on Card: ______________________ | |
| Signature: __________________________ | |
| HB31-001-9999-343104 | PC 7062 |