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  1.  
  2.                      MIDPA Softworks Registration/Order Form
  3.      _______________________________________________________________________
  4.      Make Checks payable to "MIDPA Softworks"
  5.      
  6.      and Send to:            MIDPA Softworks
  7.                              P.O. Box 691386
  8.                              Tulsa, Ok. 74169-1386
  9.      _______________________________________________________________________
  10.      
  11.      Your Name:_____________________________________________________________
  12.      
  13.      Company:  _____________________________________________________________
  14.      
  15.      Address:  _____________________________________________________________
  16.      
  17.                _____________________________________________________________
  18.      
  19.         City:  ________________________________ State: ________
  20.      
  21.      Zip Code: _____________
  22.      
  23.      Phone:    (______)______-____________
  24.      _______________________________________________________________________
  25.                                                            Unit     Total
  26.      Quantity:  Product:                                   Price     Cost
  27.  
  28.      
  29.      
  30.      _________  PixCat Registration (only)               @ $10.00 __________
  31.                 for PrintMaster(tm), NewsMaster(tm),
  32.                 and Print Shop(tm)
  33.      
  34.      _________  PixCat Registration and Disks            @ $20.00 __________
  35.                 for PrintMaster(tm), NewsMaster(tm),
  36.                 and Print Shop(tm)
  37.      
  38.                                                        Subtotal   __________
  39.      
  40.                         Oklahoma residents add  7.00% sales tax   __________
  41.      
  42.                                                           Total   __________
  43.  
  44.  
  45.  
  46.  
  47.  
  48.  
  49.  
  50.  
  51.      
  52.                        MIDPA Softworks Customer Survey 
  53.      _______________________________________________________________________
  54.      
  55.      Please help us improve PixCat by  filling out the following survey  and
  56.      including   it   with   your    registration   form.      Thank    You.
  57.      _______________________________________________________________________
  58.      
  59.      I use PixCat with the following computer(s):
  60.      
  61.          [  ] IBM PC, XT or AT    [  ] IBM PS/2 Model(s):___________________
  62.      
  63.          [  ] Other(s) please specify:______________________________________
  64.      
  65.               ______________________________________________________________
  66.      
  67.          Minimum Size Ram Memory Used:___________Kilobytes
  68.      
  69.      I use PixCat with the following printer(s) (please specify manufacturer
  70.      and model number):
  71.          ___________________________________________________________________
  72.      
  73.          ___________________________________________________________________
  74.      
  75.      I use PixCat with the following operating system(s):
  76.      
  77.          [  ] MS-Dos or PC-Dos Version:_____________________________________
  78.      
  79.          [  ] Other(s) please specify:______________________________________
  80.      
  81.               ______________________________________________________________
  82.      
  83.      I use PixCat with the following software product(s):
  84.      
  85.          [  ] NewsMaster(tm)    [  ] PrintMaster+(tm)   [  ] PrintShop(tm)
  86.      
  87.          [  ] Other(s) please specify:______________________________________
  88.      
  89.               ______________________________________________________________
  90.      
  91.      Using a scale of 1 to 10 (1  = terrible, 5 = average, 10 =  excellent),
  92.      please indicate:
  93.      
  94.          [  ] Your general satisfaction with this product.
  95.      
  96.          [  ] How easy is this product to use?
  97.      
  98.          [  ] How practical or useful is this product?
  99.      
  100.      
  101.                              (continued on next page)
  102.      
  103.                        MIDPA Softworks Customer Survey 
  104.      _______________________________________________________________________
  105.      
  106.      The following questions  require more lengthy  responses.  Please  feel
  107.      free to use additional sheets of paper if necessary.
  108.      
  109.      How did you find out about PixCat?  Where did you get your copy from?
  110.      
  111.          ___________________________________________________________________
  112.      
  113.          ___________________________________________________________________
  114.      
  115.      What would you say are the best features of PixCat?
  116.      
  117.          ___________________________________________________________________
  118.      
  119.          ___________________________________________________________________
  120.      
  121.      What would you say are its worst features?
  122.      
  123.          ___________________________________________________________________
  124.      
  125.          ___________________________________________________________________
  126.      
  127.      Please list any extraneous or useless features of PixCat.
  128.      
  129.          ___________________________________________________________________
  130.      
  131.          ___________________________________________________________________
  132.      
  133.      Please describe enhancements to PixCat, or related products, you  would
  134.      like to see.
  135.      
  136.          ___________________________________________________________________
  137.      
  138.          ___________________________________________________________________
  139.      
  140.          ___________________________________________________________________
  141.      
  142.      What similar products have you seen or used?
  143.      
  144.          ___________________________________________________________________
  145.      
  146.          ___________________________________________________________________
  147.      
  148.  
  149.      Thank you  for  the  time and  effort  you  spent on  this  survey,  we
  150.      appreciate your feedback.   And,  most of all,  thank you  for being  a
  151.      customer of MIDPA Softworks.
  152.  
  153.  
  154.  
  155.  
  156.