*** F A X ***

TO:   Advanced Gravis Technical Support
ATTN: Technical Support
SUBJ: UltraSound SETGUS

Tested by: ___________________________________________   Date: ____/____/____

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Test Platform:  286 |_| 386SX |_| 386DX |_| 486SX |_| 486DX |_|   MHz: ______
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DOS Ver: _____  Mem Mgr: EMM386 |_| QEMM |_| Other _________

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                              HARDWARE INSTALED

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Comments: ___________________________________________________________________

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               Please submit all test forms promptly for analysis