QUENZAR'S CAVERNS(C) REGISTRATION FORM Version 1.5 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 1.5 is: $10.00 U.S. ---------------------------------------------- or $14.00 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 _________________________________________________ Comments (things you liked or disliked, improvements, etc.) ________________________________________________________________ ________________________________________________________________