                  ERIC SCHWARTZ ANIMATION DISK ORDER FORM       (rev. MAY-92)

Name _______________________________           Date _____________

Address _______________________________

        _______________________________

 __ I would like information about retail sales of anim disks

    My business's name is __________________________________

 __ I would like a free AFIT AUG newsletter (AFIT Gazette).

    __  I would like the entire collection for $1.75 per disk.

    I would like these disks at $3.00 per disk:___________________________
             (the first 5 disks)
                                               ___________________________

    I would like these additional disks at $2.00:_________________________

                                                 _________________________

    For subscription orders, specify the first disk in each category

    that you wish to receive:  AT___  ES___  AN___  PX___

               ************************************************
              *               U.S. CURRENCY ONLY               *
              *                                                *
              * ___ disks X $3.00 = $____ (first 5)            *
              *                                              S *
              * ___ disks X $2.00 = $____ (over 5)           H *
              *                                              I *
              * ___ disks X $1.75 = $____ (entire set)       P *
              *                                              P *
              * ___ total disks X $0.25 = $____ (Canada)   <-I *
              *                                              N *
              * ___ total disks X $0.50 = $____ (overseas) <-G *
              *                                                *
              *             TOTAL = $______ (amount enclosed)  *
              *                                                *
               ************************************************

OPTIONAL:

   Your phone _________________

   Your Internet name and address (for notification of receipt of order)

      _______________________________

   Name of user groups that you are a member of __________________________

      ____________________________________________________________________

   Their BBS numbers (if any) ____________________________________________

   Comments/suggestions __________________________________________________

 CHECKS SHOULD BE MADE PAYABLE TO "THE ES ANIMATION COLLECTION"
