Please fill out this form and return by email to: elpeters@srel.edu.

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Personal Data

Name:
Address 1:
Address 2:
Address 3:
City:
State:
Zip/Postal Code:
Country:
Telephone:
FAX:
EMail Address 1:
Email Service:
EMail Address 2:
Email Service:

Macintosh Model:

Number of Megabytes of Random Access Memory (RAM)

Type of Storage Device:

Capacity of Storage Device:

Monitor Type:

Monitor Size:

Monitor Interface Card:

Operating System Version:

Extensions and Control Panel Devices Used:

Please describe the problem as completely as you can.




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