Jewish Clip Art Survey/Order Form

(Please Print out this form)
Registration Form For Jewish Clip Art Shareware
Name _________________________________________________________
Address _______________________________________________________
City ____________________________ State ___________ Zip ___________

Please answer the following questions so that I may continue to create more Jewish clip art disks that would fulfill your needs:

1) I use clip art for the following purposes (check as many as apply):

[ ] Educational:
[ ] Day School
[ ] Afternoon/Sunday School
[ ] Synagogue/Adult Education
[ ] Other _________________

[ ] Business:
[ ] Newsletter
[ ] Brochures/Fliers
[ ] Packaging
[ ] Catalogue
[ ] Other _________________

[ ] Personal:
[ ] Greeting cards
[ ] Banners
[ ] Decorations
[ ] Other _________________
[ ] Other ____________________
[ ] Other ____________________

2) What sort of clip art do you like the best?

[ ] Religious objects
[ ] Holiday objects
[ ] Biblical scenes
[ ] Other ____________________

3) Are there any subjects, holidays or objects you would especially like to see more clip art for (e.g. more different styles of menorahs, gragers, torahs, etc.)?





4) Would you be interested in more pictures with words (Hebrew or English) in them (e.g. a possuck wrapped around an object) or micrography (i.e. objects made up of words and phrases)?


5) Do you have a color printer? [ ] Yes [ ] No [ ] No, but may be getting one soon
Would you like some color pictures? [ ] Yes [ ] No

6) I/my organization am/is basically: [ ] Orthodox [ ] Conservative [ ] Reform [ ] Reconstructionist [ ] Other _______________________________________

7) If you are an educational institution or use your computer for educational purposes, what age group(s) do you direct any or all of your information to? (check all that apply)

[ ] Pre-school
[ ] 1st - 4th grades
[ ] 5th - 8th grades
[ ] High School
[ ] Teens
[ ] College age
[ ] 20s-30s
[ ] 40s-50s
[ ] Senior Citizens
[ ] All Adults
[ ] All Ages
[ ] Other __________

8) I also use secular clip art: [ ] Yes [ ] No
I also would like information on purchasing secular clip art: [ ] Yes [ ] No

I would like to purchase the following pages of clip art: ($5 each, all 6 for $25 -- NJ residents please add 6% sales tax)

[ ] Page 1 (Jewish symbols)
[ ] Page 2 (Holiday pictures)
[ ] Page 3 (Mazal Tov pictures)
[ ] Page 4 (More holiday pictures)
[ ] Page 5 (miscellaneous)
[ ] Page 6 (micrography)

Format: [ ] Macintosh (.pict) [ ] PC (.gif)

Please mail completed form with a money order (made out to "Compugraph Designs") for $5 per page or $25 for all 6 pages -- NJ residents please add 6% sales tax (or the form alone if not ordering now) to:

Compugraph Designs
Jewish Clip Art
PO Box 4283
Highland Park, NJ 08904