QB Software
P.O. Box 8016
Rochester,  MN  55903-8016


Defect Number  D-___-___  (your 3 initials plus a 3 digit sequence number e.g. 001)
Computer _______________
  Model ________________
  Video ________________
  Memory _______________
  CD-ROM _______________

Drive Information:
  _ FAT
  _ HPFS

Network Attached Drives:
  _ NFS (Software) _____________________
  _ LAN (Software) _____________________

OS/2 Version/Level _____

DM/2 Version/Level _____
     Release Date  ___/___/___

Problem Description (please include all details, such as Drop'n Drag, file
  names, sequence of events) _____________________________________________
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