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  1.                   REGISTRATION FORM (The Interstate Traveler)
  2.                   -------------------------------------------
  3.  
  4.        NAME: ______________________________     DATE: ________________
  5.  
  6.        ADDRESS: ___________________________
  7.  
  8.        CITY: ______________________________     STATE: ______   ZIP: ________
  9.  
  10.        Distributor: ______________________________________  Version: __2.0___
  11.  
  12.  
  13.        Your opinions on the following features of the program will be helpful
  14.        in future development.
  15.  
  16.                                  GOOD        FAIR        POOR
  17.  
  18.        DOCUMENTATION             [ ]         [ ]         [ ]
  19.  
  20.        USEFULNESS                [ ]         [ ]         [ ]
  21.  
  22.        GRAPHICS                  [ ]         [ ]         [ ]
  23.  
  24.        EASE OF USE               [ ]         [ ]         [ ]
  25.  
  26.        PRICE                     [ ]         [ ]         [ ]
  27.  
  28.        COMMENTS/SUGGESTIONS: _____________________________________________
  29.                                                                           
  30.        ___________________________________________________________________
  31.                                                                           
  32.        ___________________________________________________________________
  33.                                                                           
  34.        ___________________________________________________________________
  35.                                                                           
  36.        ___________________________________________________________________
  37.  
  38.        YOUR EXPERIENCE AS A COMPUTER/SOFTWARE USER:  Little [ ]  Some [ ] 
  39.                                                      Considerable [ ]
  40.  
  41.        Registered version on 360K [ ] 1.2M [ ] 720K [ ] 1.44M [ ]
  42.  
  43.                      * * * THANKS FOR YOUR SUPPORT * * *
  44.  
  45.             Registration fee ......................... $29.00
  46.             Shipping & handling ......................   3.00
  47.             Oklahoma sales tax (OK residents) ........
  48.                                                        -------
  49.                                       TOTAL ..........
  50.  
  51.             Mail this form plus your check (US funds only) to:
  52.  
  53.                          Jacobson Software Enterprises
  54.                          P.O. Box 3724
  55.                          Bartlesville, OK 74006
  56.  
  57.