FRANÇAIS

Kutoka Club Registration Form

Thank you for purchasing a Kutoka product! To register
your product please fill out the form below.

You may also register by mailing or faxing the registration
card that was included with your boxed product.
Our fax number is (514)849-9182.

By registering you will automatically become a member of
the Kutoka Club and have access to special offers.

We welcome your comments and ideas. Please include
them on the form.

First Name: *
Last Name: *
Address:
City:
Province / State:
Country:
Postal / Zip Code:
Phone: 1 - - -
E-Mail: *
Child(ren):
Name of the first: Birthday: / / Gender:
Name of the second: Birthday: / / Gender:
Name of the third: Birthday: / / Gender:
Store name:
Store location:

How did you
become aware
of our product(s)?

Newspaper / Magazine
Friends
Other:
What software title(s) did you purchase?
Mia's Word Copter
Mia : Reading (Bugaboo Bugs!) [DVD-ROM]
Mia : Reading (The Search for Grandma's Remedy) [CD-ROM]
Mia : Science (Romaine's New Hat) [DVD-ROM]
Mia : Science (Romaine's New Hat) [CD-ROM]
Mia : Math (Just in Time!) [DVD-ROM]
Mia : Math (Just in Time!) [CD-ROM]
Mia : Language (The Kidnap Caper) [DVD-ROM]
Mia : Language (The Kidnap Caper) [CD-ROM]
Mia : Click & Create (A Complete Creativity Studio)
Mia : Sudoku
Didi & Ditto : Kindergarten (A Feast for Zolt)
Didi & Ditto : First Grade (The Wolf King)
Didi & Ditto : Preschool (Mother Nature's Visit)
EazySpeak French
EazySpeak Spanish
Ollo in the Sunny Valley fair
Moop & Dreadly : Treasure on Bing Bong Island
Creatures Village
Creatures Exodus
Miss Spider : Scavenger Hunt
What other title(s) have you bought in the past?
Mia's Word Copter
Mia : Reading (Bugaboo Bugs!) [DVD-ROM]
Mia : Reading (The Search for Grandma's Remedy) [CD-ROM]
Mia : Science (Romaine's New Hat) [DVD-ROM]
Mia : Science (Romaine's New Hat) [CD-ROM]
Mia : Math (Just in Time!) [DVD-ROM]
Mia : Math (Just in Time!) [CD-ROM]
Mia : Language (The Kidnap Caper) [DVD-ROM]
Mia : Language (The Kidnap Caper) [CD-ROM]
Mia : Click & Create (A Complete Creativity Studio)
Mia : Sudoku
Didi & Ditto : Kindergarten (A Feast for Zolt)
Didi & Ditto : First Grade (The Wolf King)
Didi & Ditto : Preschool (Mother Nature's Visit)
EazySpeak French
EazySpeak Spanish
Ollo in the Sunny Valley fair
Moop & Dreadly : Treasure on Bing Bong Island
Creatures Village
Creatures Exodus
Miss Spider : Scavenger Hunt
We would love to hear what you or your child thinks of our games.

NOTE: If you have a technical question, please use our other online form.