                        X-WARE ENGINEERING
                     Technical Support Request

X-WARE ENGINEERING INFORMATION   
(Leave this section blank, to be completed by X-Ware Engineering Personnel)

    Request Number:             
          Severity:
 Assigned Engineer:
Action to be taken:


GENERAL INFORMATION
===================
            
            Date: 
    Contact Name: 
    Phone: (day):                          Best Time To Call:
           (fax): 
    Company Name: 
         Address: 
         Address: 
            City:                      State:           Zip:
    Product Name: 
         Version: 
      Serial No.: 
    Problem Type: (   ) Problem    (   ) Request    (   ) Documentation
        Severity: (   ) Crashes  (   ) Major  (   ) Minor  (   ) Trivial

Where/when did this occur? (i.e. Installation, Setup, Docs, Help etc...):


Detailed description of problem / question / suggestion (provide as
much detail as possible about symptoms and any error messages.  If you
are reporting a documentation problem, note the page number, or the
help file name and topic title):
 

Are you able to reproduce this problem?


If yes, please list the steps you took to reproduce:


HARDWARE
========

Below, please provide information on the type of hardware
located on the machine which has experienced the problem:


              Processor Type/Speed: 
                        # Megs RAM: 
Windows Available Memory/Resources: 
 Video Resolution/Colors/Card Type: 
                      Network Type: 
             Hard Drive Size/Brand: 
           Printer (if applicable): 

SOFTWARE
========

Below, please provide information on the type of software located on the 
machine which has experienced the problem:

Operating System/Version: 
          Memory Manager: 
            Applications: 


ADDITIONAL INFORMATION
======================

Please add any information that you feel is important or may be helpful
in diagnosing and recreating this problem:

