11/08/94               Pixie Swarm Registration Form

Send a check or money order for $10 in U.S. currency to:
Khouri Giordano
26 Woods End Road North
Dix Hills, NY 11746

Name:_____________________________________________________________________

Company:____________________________________ Title:_______________________

Address:__________________________________________________________________

__________________________________________________________________________

City:___________________________________________ State:_____ Zip:_________

Phone:______________________________ Fax:_________________________________

Online address (Specify service i.e. Internet, Compuserve, AOL, etc.):

__________________________________________________________________________

What disk format would you like: (choose only one)
[ ] 720K 3 1/2"  [ ] 1.4M 3 1/2"  [ ] 360K 5"  [ ] 1.2M 5"

To help us serve you better, please answer the following questions:

Computer brand and model:_________________________________________________

Processor type and speed:_________________________________________________

Monitor type and size:____________________________________________________

What screen resolutions and bit depths do you use? (check all that apply)
[ ] 640 x 480        [ ] 1 bit - B & W
[ ] 800 x 600        [ ] 4 bit - 16 color
[ ] 1024 x 768       [ ] 8 bit - 256 color
[ ] 1280 x 1024      [ ] 15 or 16 bit hicolor - 32K or 64K colors
[ ] 1600 x 1200      [ ] 24 bit true color - 16.8M colors

Do you have any of these other peripherals:

[ ] Sound card   Brand & Model:___________________________________________
[ ] CD-ROM   Speed:  [ ] 1x   [ ] 2x   [ ] 3x   [ ] 4x
[ ] 3" MO   Capacity: [ ] 128M   [ ] 256M
[ ] Floptical (20M disk)
[ ] Tape backup   Type and Capacity:______________________________________

Feel free to write any additional comments on the back of this form.