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  1.          DEA Release v.2.01 Problem / Bug Report Form
  2.         ----------------------------------------------
  3.  
  4.  
  5.    MAIL TO:  Nellis du Maurier Information Security
  6.          33 Isabella St., Ste. 1005
  7.          Toronto, Ontario M4Y 2P7
  8.          Canada
  9.  
  10.  
  11.    Please specify the particulars of the problem you are having, along
  12.    with the following:
  13.  
  14.    Operating System Used: ___________________________________________
  15.  
  16.    DEA program causing
  17.    difficulties:           DEA  GENKEY  KEYVIEW  MFD       (circle one)
  18.  
  19.    Program reported
  20.    Error Line Number      _____________________  (must be provided)
  21.  
  22. Please remember to be specific enough to allow Nellis du Maurier to duplicate
  23. your problem(s).  This may include any relevant factors.
  24.  
  25.  
  26.    Particulars: ________________________________________________________
  27.  
  28.     ____________________________________________________________________
  29.  
  30.     ____________________________________________________________________
  31.  
  32.     ____________________________________________________________________
  33.  
  34.     ____________________________________________________________________
  35.  
  36.     ____________________________________________________________________
  37.  
  38.     ____________________________________________________________________
  39.  
  40.     ____________________________________________________________________
  41.  
  42.  
  43.  
  44.     Registered DEA User:            Today's Date: _______________________
  45.  
  46.  
  47.   Company Name_____________________________________________________________
  48.  
  49.  
  50.   Title_______________________________________________________
  51.  
  52.  
  53.   First Name__________________________________________________
  54.  
  55.  
  56.   Last Name___________________________________________________
  57.  
  58.  
  59.   Mailing Address_____________________________________________
  60.  
  61.  
  62.   City________________________________State_______________Zip______________
  63.  
  64.