Use this form to register WordQz. Please complete the form, print it, enclose $15 US and send to: Hyrax Systems P.O. Box 860611 Plano, Texas 75086-0611 ____________________________________________________________ WordQz Registration Form Version 1.00 ____________________________________________________________ NAME: __________________________ COMPANY: __________________________ STREET: __________________________ CITY: __________________________ STATE: __________________________ ZIP CODE: ____________ DAY PHONE: _________________ NIGHT PHONE: _________________ DISK SIZE: (Check One) ____ 5 1/4" ____ 3 1/2" ____________________________________________________________