REGISTRATION FORM
                                  FOR
                           TRIVIA CHALLENGER


Name of program  : Trivia Challenger                    Vers.: ____________

Type of system   : MS-DOS (  )   Unix (  )  Other (  )  :__________________

Preferred format : 5 1/4" (  ) 3 1/2" (  ) E-mail (  )

NB: Please write the "BBS name" and  "Your name"  below exactly the way you
want too see it displayed on the registration screen.

BBS name         : ___________________________________  Phone: ____________

Your name        : ___________________________________  Voice: ____________

Street address   : ___________________________________

Postal code City : ______  ___________________________

Country / State  : ___________________________________
                                                        (to get updates by
E-mail address   : ___________________________________   electronic mail. )

BBS program      : ___________________________________  Vers.: ____________

Amount paid      : _______.____    Currency: _________  (US$ 20 or NOK 100)

Amount are       : enclosed check in this letter  (  )  (check  one of the
                   enclosed cash  in this letter  (  )   boxes to indicate
                   sent to account 0813 58 63964  (  )   how you intend to
                   sent to account 1600 51 68221  (  )   pay for your reg.)
                   please charge my VISA account  (  )

                   VISA #: ___________________________


Yes, please send me future releases automatically (  )  by electronic mail.
(Note  that  you  need to supply a valid Usenet/Internet  e-mail address to
take advantage of this offer.)


Where did you find this game? (BBSname and location) : ____________________

___________________________________________________________________________

Who (if anyone) recommended it? : _________________________________________




    -----------------------------------------           ----------
         signature                                         date


    Thanks in advance,  Gisle Hannemyr.


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END OF REGISTRATION FORM  END OF REGISTRATION FORM END OF REGISTRATION FORM
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The form should be sent to one of the following addresses:

Snail mail:
    Gisle Hannemyr
    Hegermanns gate 13-3
    N-0478 Oslo
    Norway

Electronic mail:
    gisle@oslonett.no

..EOF