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  1.                          Name:
  2.                   Reply-to id:
  3.                     Telephone:
  4.                   PRM version:
  5.                  OS/2 version:
  6.     Connection (SLIP/PPP/LAN):
  7.     Dialer (IAK/SLIPPM/other):
  8.        Send via POP3 or SMTP?:
  9.           Sending server name:
  10. Other TCP/IP programs you use:
  11.             Problem statement:
  12.  
  13.