On-Disk Trouble Report

From: (Name)__________________________       To: On-Disk Software
                                                 P. O. Box 661
      (Addr.)_________________________           Lincoln, MA  01773

      (Addr.)_________________________

      (Addr.)_________________________


Product Name: ______________________   Release _______

Description of the problem:____________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

My system is a: _________________      DOS Release:____________________

Printer:_______________   Model:___________________

Floppies   How Many:____  What Size:_____________

Hard Disk (Y__ N__) Brand/Model: ________________

RAM Memory size:________  RAM-Disk Software:_________

Enclosed are (The more you can send, the better):
                    __                              __
Program Listing(s) |__|    Printout or Screen Copy |__|

Other Materials (Describe) _____________________________________
              __
Floppy disks |__|

::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
On-Disk Software Use                           Do not fill out below here.
Problem Received ___/___/___   By:______     Problem Number ____
Materials Received
       __              __               __                    __
Disks |__|   Listings |__|  Other H.C. |__|  Other Materials |__|
                    __     __     __     __     __
Problem Category 1 |__|  2|__|  3|__|  4|__|  5|__|
Problem Resolution Date ___/___/___  By:____
Comments or Xrefs:
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