GHOST SOFTWARE - Problem Report Sheet Please fill out this form and FAX it to (414)964-2201 or email to support@ghostsoft.com. Date: ____________ GHOST Version Number: ____________ Bug Number: ____________ Author: ________________________________________ Company: ________________________________________ Contact Name: ________________________________________ Phone Number: ________________________________________ Internet Address: ________________________________________ State, Country: ________________________________________ Abort Number: ________________________________________ Abort Message: ________________________________________ Reproducible (Y/N): ___ Urgency (1-5): ___ Parallel, Serial, NetBIOS, or Local: __________________________ Brief description of problem: __________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Hardware Make and Model: ________________________________________ Notes: _________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________