First Name
Last Name
Email
Application
Version
Operating System
Win 95
Win 98
Win ME
Win XP
Win NT
Win 2000
Mac OSX
Mac OSX - Jaguar
Mac OSX - Panther
Mac OSX - Tiger
Palm
Pocket PC
CPU
Internet Connection
Dial Up (modem)
DSL
Cable
ISDN
Networks (T1 - T3, etc)
Country
Other Applications running at
time of the problem?
Yes
No
If so which applications?
Details
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