LOJBAN REGISTRATION

Name: ___________________________________________________________________

Street Address: _________________________________________________________

City, State, (Country), Zip: ____________________________________________

Home Phone: ______________________ Work Phone: __________________________

Internet Address: ____________________________________________________________________

My primary interest(s) in Lojban are (check any that are applicable):

____ linguistics applications/theory _____ computer applications

____ foreign language/linguistics education _____'international' language

____ other: ______________________________________________________________

Activity Level:

_____ I am not interested in further involvement. Please remove me from your active lists.

_____ (Level B) Observer - (default)

_____ (Level C) Active Supporter

_____ (Level D) Lojban Student

_____ (Level E) Lojban Practitioner

Email this form to [email protected], or snail mail to

The Logical Language Group, Inc., 2904 Beau Lane, Fairfax VA 22031-1303 USA