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  1.  
  2.  
  3.                  Technical Support Request - ZIPPER Payroll
  4.  
  5.  
  6.  COMPANY : _______________________________________ REGISTRATION:______________
  7.  
  8.  ADDRESS : ___________________________________________________________________
  9.  
  10.  CITY    : _______________________________ STATE:______ ZIPCODE:______________
  11.  
  12.  PHONE   : ______________________
  13.  
  14.  CONTACT :________________________________________  FAX:______________________
  15.  
  16.  EVENING PHONE:____________________   CompuServe ID:__________________________
  17.  
  18.  
  19.  (1) Module in which you have encountered this problem:
  20.  
  21.   [ ] Employee  [ ] Payroll  [ ] Reports  [ ] System  [ ] Utilities  [ ] Undo
  22.  
  23.   [ ] Printer   [ ] Installation          [ ] Other:_________________________
  24.  
  25.  
  26.  (2) Hardware:
  27.  
  28.   CPU:_______________    RAM:_____________    Available Memory:______________
  29.                                                (amount available to ZIPPER)
  30.   Video:_____________    Printer: ______________
  31.  
  32.  
  33.  (3) Describe the nature of the problem you are encountering.  Be specific as
  34.  
  35.  possible: __________________________________________________________________
  36.  
  37.  ____________________________________________________________________________
  38.  
  39.  ____________________________________________________________________________
  40.  
  41.  ____________________________________________________________________________
  42.  
  43.  ____________________________________________________________________________
  44.  
  45.  ____________________________________________________________________________
  46.  
  47.  ____________________________________________________________________________
  48.  
  49.  (4) Please indicate the urgency of your request:
  50.  
  51.  [ ] Very Urgent  [ ] Urgent   [ ] ASAP   [ ] When you can   [ ] Low Priority
  52.  
  53.  
  54.  (5) Please indicate your [P]rimary, [S]econdary, and [L]east preferred method
  55.  by which we respond to your Technical Support Request.  Place the appropriate 
  56.  letter(s) (P, S, or L) within the brackets below.
  57.  
  58.       [  ] Telephone     [  ] FAX     [  ] CompuServe     [  ] Mail
  59.  
  60.  
  61.     INCOMPLETE TECHNICAL SUPPORT REQUESTS ARE GIVEN THE LOWEST PRIORITY.
  62.  
  63. *******    TECHNICAL SUPPORT IS PROVIDED ONLY TO REGISTERED USERS    *******
  64.