Problem Report
                             ------------------
The following form is for your conviences to be able to help us help you with
your problems.

Problem Report Form
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REGISTRATION INFORMATION:

RIPView Serial Number:  _____________________________________________________

Date:                   _____________________________________________________

Name:                   _____________________________________________________

Address:                _____________________________________________________

                        _____________________________________________________

City/State/Zip:         _____________________________________________________

Country:                _____________________________________________________

Voice Phone:            _____________________________________________________

BBS Phone:              _____________________________________________________

Fax Phone:              _____________________________________________________

FidoNet, WorldNet, etc
             Addresses: _____________________________________________________

Internet Address:       _____________________________________________________

If not registered, is this problem preventing you from registering?
( ) Yes ( ) No
Is your BBS available if we must call?
( ) Yes ( ) Yes, but not with the software in question ( ) No

PROGRAM INFORMATION

Program and Version:    RIPView Version 1.11

Error Code/Message:     _____________________________________________________

                        _____________________________________________________

What is the computer doing to your disliking (With our products)?

_____________________________________________________________________________

_____________________________________________________________________________

How was the program installed?

        ( ) From CD-ROM                 ( ) To Hard Drive
        ( ) From 3.5 HD Disk            ( ) To 3.5 HD Disk      *
        ( ) From 3.5 DD Disk            ( ) To 3.5 DD Disk      *
        ( ) From 5.25 HD Disk           ( ) To 5.25 HD Disk     *
        ( ) From 5.25 DD Disk           ( ) To 5.25 DD Disk     *
        ( ) From Shareware Archive      ( ) To CD-ROM           *
        ( ) Other: ___________________  ( ) Other: _____________________

(* In most cases, these options are not effective)

What program is causing the problem?    _____________ .EXE/.COM

Can you duplicate the problem? ( ) Yes ( ) No

SYSTEM PROFILE

What type of computer is it being installed to?

        ( ) PC XT       ( ) 286
        ( ) PC AT       ( ) 386
        ( ) 486         ( ) Pentium
                        ( ) Other: __________________________________________

Monitor Brand and model: ____________________________________________________

Graphics Card Brand and model: ______________________________________________

What type of graphic emualations do you have?

        ( ) Hercules    ( ) CGA
        ( ) EGA         ( ) VGA
        ( ) SuperVGA    ( ) XGA
        ( ) MGA         ( ) Other: __________________________________________

What operating system are you using?

        ( ) DOS:
                Manufacture and Version: ____________________________________
        ( ) Windows:
                Version and mode: ___________________________________________
        ( ) Windows NT
                Version: ____________________________________________________
        ( ) OS/2:
                Version: ____________________________________________________

        ( ) Other: __________________________________________________________

We need the information in your CONFIG.SYS and AUTOEXEC.BAT, and all other
configuration files for your operating system.  For example, if you use
Windows, we need WIN.INI and SYSTEM.INI.  See your manual for information.

What printer are you using? _________________________________________________

Please send this information to any of the technical support methods listed
in the manual for the product, other than support BBSs which we do not
operate.

Thank you and hopefully we will be able to debug your problem(s).

Eric Theriault
Head Programmer
FX Bulletin Board Systems