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****            OS/2 BETA COMMUNICATION DRIVERS (release 2211)          ****
****                   CUSTOMER INFORMATION AND COMMENTS                ****
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Prob. Number:  ________, _______ (For Asyncronous Communications only)

Customer Name: ________________________________   Customer Number: _________

Street:        _____________________________________________________________

City, State:   ____________________________________________ Zip:  __________
 
Telephone:  (H) ___________________________  (W) ___________________________

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Please complete all applicable spaces.  We appreciate your assistance with 
this beta test of the latest communication drivers for OS/2 2.0.  We will
require COMPLETE hardware information should the latest drivers not correct
your problem.  Please have this form completed before phoning IBM.

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OS/2 Version:  _________  CSD Level:  ________________________________

Manufacturer: Make,Model,Speed:  _____________________________________

BIOS: Make,Date RAM: Cache:  _________________________________________

HD1 / HD2: Make,Size,Type:  __________________________________________

Partition Info:  _____________________________________________________

Floppy Drv: A:  ______  B:  ______  Tape Drv:  _______________________

Video: Make,Chipset,Res,VRAM:  _______________________________________

Mouse: Make,Type,Buttons,Emulation:  _________________________________

Printer: Make,Model,Emulation:  ______________________________________

All Peripherals,Cards,Co-Processor:  _________________________________

______________________________________________________________________

Problem Summary: _____________________________________________________

______________________________________________________________________
======================================================================

======================================================================
IRQ Settings -The default/common settings are shown.  Please indicate
the ACTUAL IRQ settings for your hardware:
   
 IRQ1: Kybd______ IRQ2: ____________ IRQ3: __________ IRQ4: ___________

 IRQ5: LPT2______ IRQ6: Drv A_______ IRQ7: LPT1______ IRQ8: Clock______

 IRQ9: __________ IRQ10: ___________ IRQ11: _________ IRQ12: __________

 IRQ13: Math Coprocessor____________ IRQ14: Harddisk_ IRQ15: __________
                                                                       
=======================================================================


 Where does the error occur: VDM _  OS/2 _  WinOS2 _  On Boot Up _        

 Error Message/Number, if any: __________     

 Config.sys: Is VCOM.SYS: Enabled _ Disabled _  Priority_Disk_IO = ____   

  COM.SYS Parms (p#, Addr, IRQ, SI): (_ , ___ , __ , _ ) (_ , ___ , __ , _)   

 Type: Modem _ Fax _ Peripheral (not mouse, e.g. scanner) _____________   

 COM Port involved: COM1 _ COM2 _ COM3 _ COM4 _ Adapter Name: _________   

 Mode COMx parameter settings:                                            

 BAUD     = xxxx   PARITY = xxxx    DATABITS = 9       STOPBITS = 9       

 TO       = xxx    XON    = xxx     IDSR     = xxx     ODSR     = xxx     

 OCTS     = xxx    DTR    = xxx     RTS      = xxx     BUFFER   = xxxx    

 DOS SETTINGS: COM_HOLD = ___ IDLE_SENSITIVITY = ___ %        
            
               COM_DIRECT_ACCESS = ___   COM_SELECT = ________


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* Please describe the nature of the problem below. Please list application *                   
* AND Version with a detailed description of the problem.                  *
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