This form will be OPTICALLY SCANNED, DO NOT Write on this Form. Information
    has been encoded to ensure accuracy. For Customer Service issues, see 
    user�s manual for contact information.

    Fax this form to - NO COVER SHEET - : (888) 289-0638
    For outside US and Canada, Fax to: +1 (770) 612-9855
    Or mail in an envelope to: Lotus Registration, c/o IntelliQuest MKIS,
    P.O. Box 671449, Marietta, GA  30006-0025, USA
---------------------------------------------------------------------------------------------
    Reg_Version=US.20.08                                 $(system.date)
    
    $(REGISTER.ocr)

    Thank you for registering with Lotus.

    Salutation:      $(REGISTER.1971)     
    Name:            $(REGISTER.201,15)
    MI:              $(REGISTER.202,1)   
    Last:            $(REGISTER.203,20)
    Job Title:       $(REGISTER.205,30)
    Company:         $(REGISTER.204,30)
    PO Box/RR:       $(REGISTER.213,40)
    Street Address:  $(REGISTER.214,40)
    Address3:        $(REGISTER.225,40)
    City:            $(REGISTER.215,40)
    State/Province:  $(REGISTER.216,2)   
    Zip/Postal Code: $(REGISTER.217,10)
    Country:         $(REGISTER.218)
    Phone Number:    $(REGISTER.207,15) 
    Ext:             $(REGISTER.208)
    Fax Number:      $(REGISTER.210,15)

    Internet Email: $(REGISTER.1954)
    Receive email from Lotus?  $(REGISTER.1955)
    Receive Language info?     $(REGISTER.1910)
    Permission to pass info?   $(REGISTER.1920)

    Where purchase?:        $(MARKETING.2970)
    Type of PC?:            $(MARKETING.1965)
    Where use PC?:          $(MARKETING.1959)

    How many PCs?:          $(MARKETING.1461)
    Is PC networked?:       $(MARKETING.1970)
    Principal business?:    $(MARKETING.1925)
    # employees?:           $(MARKETING.1957)
    # use software?:        $(MARKETING.2984)
    Title?:                 $(MARKETING.1960)
    Department?:            $(MARKETING.1961)
    Lotus Notes?:           $(MARKETING.1963)
    SmartSuite r9 version:  $(MARKETING.1990)

    $(REGISTER.ocr)