REGISTRATION TO THE CLASS ACTION

Class action"Credit cards / Illegal fees for foreign currency conversion"

First name
Name
Address
City
Postal Code	(6 characters without space)
E-mail	(if you want to receive information concerning this class action)
Telephone	(10 digits without space)
Fax	(10 digits without space)
Language of correspondence  English Francais
Comments:
Would you be ready to testify?   Yes No

It is important that you advise us of any change of address, of e-mail or telephone number.