REGISTRATION OF LS - SOFTWARE

To register QUIZ, please send this form to the address below, and enclose US$ 20.-- or the respective amount in SFr or DM in cash:

Luzius Schneider

Kruggasse 70

CH-5462 Siglistorf

SWITZERLAND

You will get your personal RegNo after the money arrives.

Your address:

First Name: . . . . . . . . . . . . . . . . . . . . . . . .

Last Name: . . . . . . . . . . . . . . . . . . . . . . . .

E-Mail: . . . . . . . . . . . . . . . . . . . . . . . .

Address: . . . . . . . . . . . . . . . . . . . . . . . .

City: . . . . . . . . . . . . . . . . . . . . . . . .

ZIP: . . . . . . . . . . . . . . . . . . . . . . . .

Country: . . . . . . . . . . . . . . . . . . . . . . . .

Phone Number: . . . . . . . . . . . . . . . . . . . . . . . .

FAX: . . . . . . . . . . . . . . . . . . . . . . . .