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  1.   Problem Report Form (G7E21):
  2.  
  3.   Send to:   Synergistic Consultants, Incorporated
  4.              Post Office Box 18888
  5.              Huntsville, AL 35804-8888
  6.              1-800-828-8384 (Order, help, fax line)
  7.  
  8.   Name:            __________________________________
  9.  
  10.   (Company):       __________________________________
  11.  
  12.   Address:         __________________________________
  13.  
  14.   City:            __________________________________
  15.  
  16.   Today's date:    ___________   
  17.  
  18.   State, ZIP Code: __________________________________
  19.  
  20.   (Country):       __________________________________
  21.  
  22.   Daytime
  23.   Phone #: _________________________  FAX #: ____________________________
  24.   Home
  25.   Phone #: _________________________
  26.  
  27.   Hardware Platform:
  28.  
  29.   CPU: 8088 __ 286 __ 386 __ 486 __ 586 __
  30.   Display: EGA __ VGA __  Color: __  Paper White: __
  31.   Memory: ____ Kb
  32.   Hard Disk? _____ Kb 3 1/2 Floppy? __ 5 1/4 Floppy? __
  33.   Brand: ______________________________________________
  34.  
  35.   Operating System:
  36.  
  37.   DOS: Version: ______
  38.   DR DOS: Version: _______
  39.   Windows? ___________
  40.   Other: ______________________________________________
  41.  
  42.   Software Version(s):
  43.                                                 Problem?
  44.   GEN7 Desktop Version ___:                     ________
  45.   Children's Tutors Version ___:                ________
  46.   Accounting Module Version ___:                ________
  47.   Music DataBase Version ___:                   ________
  48.   Voice Module Version ___:                     ________
  49.   Program Manager Version ___:                  ________
  50.   Old Testament Evaluation Version ___          ________
  51.   New Testament Evaluation Version ___          ________
  52.   GEN7 User's Manual                            ________
  53.   Evaluation Version? __
  54.   Registration Number:                          ________
  55.  
  56.   Brief Synopsis of problem:
  57.  
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