Technical Support Request Form

Describe the nature of your problem

Check The most appropriate.  Comments are very important

Operating System

Response time Required

Windows 9x

Now

Windows  NT/2000/XP

Today

Novell

ASAP

Hardware

Are you still able to work?

Workstation

Yes

Server

No

Other

Partially

Comments:

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City:

State/Prov:

Country:

Zip/Post. code:

Phone:

E-mail:

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