Name:
Address:
City, Zip:

E-mail Address:


Phone Numbers where we can contact you,
Home, Work or Cell Phone:

 

 

What kind of computer is it? (Dell, Gateway, HP Laptop, and model number if you know it)


 

How big of a hard drive and how much memory does it have? 
(Hard drive size - #Gigs  ie.., 4.6 or 20 or 120Gigs and RAM installed  i.e., 96Mgbs, 128, 512, 1.0Gb etc..,)

 

What operating system were you using? Windows XP / XP with SP2/ ME / 98 / 2000?

 

 

Tell us what you think is going on with your computer?

 

 

 

 

Have you installed any new software or hardware lately?

 

 

Do you have Norton Antivirus or other virus software installed? Is it up to date?

 

 

What do you use your computer for?

 

 

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