Market Research Survey Guide
                                                    Order Form

 Please mail a copy of this completed form with your check or money order to:
      
                                                   Akil Enterprises
                                                   P. O. Box 121759
                                                   Arlington, TX 76012

     
*Please make your check or money order payable to:  Akil Enterprises


___ Enclosed is $24.95(includes S&H).  Please allow 1-3 weeks for delivery.


Please print clearly:

Name _______________________________________________________

Address _____________________________________________________

City ______________________ State ______________ Zip ____________


                                              Thank You For Your Order!