   AJF Consulting, Inc. / Pik A Program Order Form:

   Please send this completed order form, along with payment to:

   Pik A Program (tm)           TOLL FREE (Orders only)  1-800-TOREGISTER
   13 Saint Marks Place                                        (867-3447)
   New York, NY  10003          Telephone:  (212) 598-4939
   USA                          Fax:        (212) 228-5879
   Compuserve:  74777,3233      Internet:   74777.3233@compuserve.com

   _________________________________________________________________
   (Name)
   _________________________________________________________________
   (Company)
   _________________________________________________________________
   (Street1)
   _________________________________________________________________
   (Street2)
   _________________________________________________________________
   (Town)                                       (State)     (Zip)
   _________________________________________________________________
   (Telephone)               (Fax)             (Country if outside USA)

   You will get a diskette containing the latest full version of the
   program.  Shipping within North America is $4.00 for your entire order,
   whether you order 1 or 100 items.  (If overseas order, include
   $4.00 per item.)

   QUANTITY   ITEM                    PRICE EACH      TOTAL
   ------------------------------------------------------------------
              MIDIART for Windows     US $25.00       US $
   ------------------------------------------------------------------
              Shipping                US $4.00        US $4.00
   ------------------------------------------------------------------
              Tax (NYS residents only)    ____%       US $
   ------------------------------------------------------------------
              TOTAL                                   US $

   Orders are sent on 3.5" diskettes unless otherwise requested.
   Prices good through 12/96, subject to change thereafter.

   I am paying by: 
   (  ) CHECK    (  ) VISACARD   (  ) MASTERCARD  (  ) AMERICAN EXPRESS 
   (  ) CASH  (by registered mail only, please)   (  ) DISCOVER CARD

   Number:  ______-______-______-______        Exp. date:  ___-___

   _____________________________________        _____-_____-_____
   (Signature)                                  (Date)


   We would appreciate it if you would tell us where you first heard
   about this program.  Thank you.

   [  ] BBS - which one?______________________________________
   [  ] Friend    [  ] Retail store package    [  ] CD-ROM
   [  ] Magazine - which one?_________________________________
   [  ] Other - ______________________________________________
