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User Authorization Problem Report Short Form

Introduction

This is the short version of the User Authorization Problem Report Form. If you prefer instructions and information about how to complete this form, we sugggest you complete the long version of the User Authorization Problem Report Form. Click here to complete the long version of the User Authorization Problem Report Form.
    Note: This form is for users of PC Access for Windows who have received a User Authorization error. Before you can fill out this form, you need to have run the User Authorization manage to generate your Serial Number and Validation Code. For instructions on how to do this, see: Using an Install Count or Requesting a Reset Code. If you already generated a Serial Number and Validation Code, please complete the form below.
To read our Technical Support Policy and other information about this form, see: Related Information. Fields marked with an asterisk (*) are required.

Information About You

Your Name: *
Company Name:
E-mail Address: *
Fax Number:
City *:
State *:
I am an:
My computer skills:

Information About Your Copy of PC Access

PC Access Version Number: * [Help]
PC Access Version: *
Windows Version: * [Help]
User Authorization Error Number: *
If you selected Other, please enter your User Authorization error number:
Possible Cause of the User Authorization Error: *
Serial Number from UAM: * [Help]
Validation Code: * [Help]
If you would like to provide any additional information, do so here:

I understand that I am licensed to use PC Access for Windows or PC Access Flyer on one computer at a time. By selecting I Agree I hereby agree that I will not use the requested Reset Code in any way that would violate the License Agreement. If you select I do not Agree, MFM cannot issue you a Reset Code.
License agreement: * [Read Agreement]

           

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Last modification date: Friday, October 28, 2005 13:09:21

 

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