1. Default Section

* 1. Company Name:

* 2. Contact Name:

* 3. Address:

* 4. Phone Number:

* 5. E-Mail Address:

* 6. Is JITRS a worthwhile program that you would pay a fee to continue using?

* 7. Would you be willing to pay a monthly fee of $50.00

* 8. If a fee of $50 is not acceptable what would be acceptable?

* 9. Any additional feedback or comments would be appreciated

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