Name:

E-mail:

Address:

City and State:

Home phone:

Work phone:

Dial-up access location:

[Select Your Dial-up Location] Durant Pine Telephone Area Cherokee Telephone Area Madill Kingston

Computer System:

[Choose Your System Type] 386 PC 486 PC Pentium PC Macintosh 68k Macintosh PPC

Operating System:

[Choose Your Operating System] Windows 3.X Windows 95 Windows 98 Windows NT Macintosh OS Linux

Amount of RAM:

[Choose the Amount of Memory] Less Than 8 Megs 8 Megs 16 Megs More Than 16 Megs

Modem Speed:

[Choose Modem Speed] 9600 Baud 14.4 Kbs 28.8 Kbs Faster Than 28.8 Kbs

Modem Brand:

Dial-up Software:

[Choose Type of Dial-up Software] Windows 95/98 Dialup Networking Windows NT RAS Dialup Microsoft IE Win 3.x Trumpet Winsock Macintosh Dialer Netscape Personal Dialer Win 3.X Netscape Personal Dialer Win 95 Linux PPP Configuration

Software Type:

[Choose Software Type] 3.5" Diskette CD ROM Other

Type Question or Problem:
[Type Description of Question/Problem]

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