++++++++++ Crescent Multimedia Comment and order form +++++++++Rev1.1 Please fill out all of form if possible, your comments and evaluation will be greatly appreciated. Where did you get the introduction module from? ____________________________________________________________________ ____________________________________________________________________ How long did it take to complete the module? ______ Your grade?_____ Was the module length ok? __________________________________________ Was there enough review? ___________________________________________ Did the graphics add to the module? ________________________________ Was there enough material covered? _________________________________ Would you be interested in more of the modules if the price was right, say $8 to $10 a module?_______________________________________ Your comments:_______________________________________________________ _____________________________________________________________________ Order Blank for Module 2 (Volts/Current/Resistance) Name: _______________________________ Address: ____________________________ City: _____________________ State: _______________ Zip: ___________ Other shipping Information: ________________________________________ Shipping Media -------------- __ 5 1/4 inch High density floppy |__| __ 3 1/2 inch High density floppy |__| __ __ Funds: Check |__| Money order |__| (No cash please) __ Number of copies |__| X $8.00 = $________ Texas Residents add 8.25% sales tax = $________ Order Total = $________ Mail form to : Crescent Multimedia Systems P.O. Box 7183 Victoria, Texas 77903-7183 ----------------------------------------------------------------------