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Dear valued customer, in order to fulfill your support request most quickly and effectively, we ask you to complete the following form.

Contact and order information

	Name
	Company
	email (required)
	Contact phone
	Order number (RE...)
	Order reference (SH...)
	Order date

This request is regarding...

MSBackupRecovery
Other (please specify below)

Please describe the problem

If this is a technical issue, please specify...

Operating system used:

Windows 95
Windows 98
Windows ME
Windows NT 3.x
Windows NT 4.x
Windows 2000
Windows XP
(additional notes)

Amount of memory (RAM) in megabytes:

Version(s) of Microsoft Office installed:

Office 4.x (Word 6.0, Excel 5.0, PowerPoint 4.x, Access 2.0)
Office 95 (Word 95, Excel 95, PowerPoint 95, Access 95)
Office 97 (Word 97, Excel 97, PowerPoint 97, Access 97)
Office 2000 (Word 2000, Excel 2000, PowerPoint 2000, Access 2000)
Office XP (Word 2002, Excel 2002, PowerPoint 2002, Access 2002)
(additional notes)

Finally, please re-check the information you entered (especially if the email address is correct) and click the Submit request button. Thank you.