BLIZZ E-MAIL
                        REGISTRATION FORM

                 Print this form and complete it.
      Once completed, send it by fax at 514-359-7060 (Canada)
                      Please write clearly. 

 NAME:       _____________________________________________________

 E-MAIL:     _____________________________________________________

 COMPANY:    _____________________________________________________

 ADDRESS:    _____________________________________________________

             _____________________________________________________

 CITY:       _____________________________________________________

 STATE:      _____________________________________________________

 COUNTRY:    _________________________ ZIP CODE:   _______________

 TELEPHONE:  _____________________________________________________


                  Blizz E-Mail Cost (5 users version):

AMOUNT: 69.99$Can x  NUMBER OF COPIES: _____  TOTAL: _________$Can
(note: Depending on exchange rate, 69.99$Can is about 49.99$US)


  Payment method: Check       ____        TO: BLIZZ INFORMATIQUE
                  Money order ____            446, du Blizzard
                  VISA        ____            St-Luc, Qc, CANADA
                                              J2W 1Y4


  SIGNATURE: _________________________________________________
  Note: For each registration we will contact you by e-mail.


 FOR VISA PAYMENT:
 =================
 NUMBER:            _________________________ EXPIRY DATE:________

 NAME ON THE CARD:  ______________________________________________