QUENZAR'S CAVERNS(C) REGISTRATION FORM Version 1.2 Your Name: ____________________________________________ Address: ____________________________________________ ____________________________________________ Country: ____________________________________________ State/Prov: ____________________________________________ Zip/Postal Code: ____________________________________________ Telephone Number: ____________________________________________ (optional) (include area/country code) Date Ordered: Month ________ Day _____ Year ______ Registration Fee For Quenzar's Caverns 1.2 is: $6.00 U.S. ---------------------------------------------- or $7.75 Canadian Make out a Check or Money order to: ========= Peter Lok ========= Registration Form is mailed to: Peter Lok Pulse Ventures Ltd. 1118 - 17th Ave., NW Calgary, AB Canada T2M-0P6 How did you get Quenzar's Caverns? ---------------------------------- [ ] CompuServe [ ] Other BBS __________________ [ ] Other _________________________________________________