                                          Jonathan Kraidin
                                          6100 City Line Avenue
                                          Apartment 1504
                                          Philadelphia, PA  19131

Please register me for your Quixx screen animator.  I am enclosing the
appropriate funds for the program.

I understand that while the program has been tested, you are not responsible
for any data loss, corruption of files, computer difficulties, unexpected
conflicts or loss of work because of the direct or indirect effects of your
program.  This disclaimer is not limited to the above statements.

First copy  ______ x $15

Add'l copys ______ x $5
-------------------------

Total      $______
