Technical Support Request Form
Please tell us about yourself:
Technical Support Information:
(
*
Required)
Personal Information
*
First Name:
*
Last Name:
*
Phone Number:
Ext:
*
E-mail Address:
Company Information
*
Company Name:
*
Address:
*
City:
*
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HA
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VTt
WA
WI
WV
WY
*
Zip Code:
Software Information
(if applicable)
Software/Book Title:
Version:
Software/Book ISBN:
Website Information
(if applicable)
URL:
Username:
(if applicable)
Password:
(if applicable)
*
Problem Description
(please provide details including error messages)
*
Computer Information
PC:
Pentium 4
Pentium III
Pentium II
AMD
Celeron
Other
Apple Systems:
iMac
PowerMac G4
PowerMac G3
PowerMac (except G3)
Other
*
Operating System:
Windows XP Professional
Windows XP Home Edition
Windows 2000 Professional
Windows Millennium (ME)
Windows 98SE
Windows 98
Windows 95
Windows NT Workstation 3.51
Windows NT Workstation 4.0
Mac OS X
Mac OS 9.x
System 8
System 7.x
Unix/Linux
IBM OS/2
Memory(RAM):
512 MB
256 MB
128 MB
64 MB
1G
More than 1G
Internet Browser
(if applicable)
:
Internet Explorer 6
Intennet Explorer 5.5
Intennet Explorer 5.2
Intennet Explorer 5.1
Intennet Explorer 5.0
Netscape 7.1
Netscape 6.2
Netscape 6.1
Safari 1.x
AOL 9.0
Other
Network Operating System
(if applicable)
:
Windows Server 2003
Windows Server 2000
Windows NT Server 4.0
Novell NetWare 6
Novell NetWare 5
Novell NetWare 4.2
Mac OS X
AppleShare
Printer Type
(if applicable)
:
Inkjet printer
Laser printer
Dot matrix printer
Printer Model:
Standalone or network printer?
Standalone
Network
Do not know
Additonal Comments or system configuration information
:
To speak with the Technical Support team by phone, please call: 1-800-323-9239
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