Trouble Report

When you submit your SUR, it will be entered into our support database for tracking purposes. After an initial assessment by our support department, a customer tracking number and support technician will be assigned. Please be as specific as possible when describing the problem.

You may print the form (Adobe Reader required) and fax it to Perii at (321) 452-0145 or use the form below.

Please use this form whenever possible. Any other information you think might help such as sample programs, should be included with the Software User Report. The reports will be analyzed by our development team and appropriate action taken. Unless you specify otherwise, we may contact you for more information.

* Indicates Required Information

*Date:

*Type:

SUR#:
*Problem Title:
*Company:
Originator:
Telephone:	Ext.:

*Product:		*Version:
*Module:		*Version:

*Operating System:
*Networked Version?:
Client Workstation OS:
Server OS:
*Please enter a brief one-line description of the problem: (example: "When in MTE2000; After I enter the print command, the system display tells me its an illegal command, which I know is legal.")

If the problem is reproducible, please list the steps required to cause it, leaving a blank line between steps: (example: "1. Create a new file. 2. Insert some text ...")

If the problem is not reproducible , please describe the circumstances in which it occurred and the symptoms observed: (only happened once, or occasionally for no apparent reason)

If the problem causes any error messages to appear, please enter the exact text displayed:

Please provide us with your system configuration, so that we may attempt to recreate the problem at our facilities.


Other Comments:
*E-mail Address:

Perii Software
2755 N. Banana River Drive, Suite C
Merritt Island, FL 32952
Phone: (321) 253-2269 ~ Fax: (321) 452-0145
Toll Free: (800) 670-7677

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