Dear Bluegum Software,

									Please forward ...... copy(ies) of the following Kid Pix™ Colouring Book disks.

Disk No(s)...........................................................................................................................

which are for School use, and for which I am forwarding payment of $50 per disk.  

I understand that these disks may be freely copied for use within the School, and

that I will ensure that copies are not made available to any other persons. 



Signature....................................................................................................................
                                                   (School Principal)
 
















 I have a 13inch colour monitor,  a 12 inch colour monitor ,  other.  (Please circle)

 
Where I heard about Kid Pix™ Colouring Book...............................................................


School  Name_________________________________________


Address______________________________________________


City______________________State_______________________


PostCode______________Country_______________________