Dear User.
 We distribute GEPOL without charge. However in order to be allocated
 adecuate funds for our research we need to justify that GEPOL is a 
 useful program. We would therefore greatly appreciate if you would
 fill in this form and return it to us.
 ********************************************************************

 Name



 Address




 Which version of GEPOL do you have?



 How did you acquire the program?




 What is your main field of work?





 Why are you interested in GEPOL?







 Date and signature






                       Please return to:

 E. Silla, Departamento de Quimica-Fisica, Universidad de Valencia
                 46100 Burjassot (Valencia),Spain