SafeCast - Example Default Contact File Copyright (C) 1998, 1999 C-Dilla Ltd. _______________________________________________________________________ Please contact the helpdesk using one of the following methods: Address: Tel: Fax: E-Mail: If you are contacting the helpdesk by mail, e-mail or fax then please complete the following form and copy/print it out and send to the helpdesk. CONTACT DETAILS: --------------- Title: Mr/Mrs/Miss/Ms Name: __________________________________________* Company: __________________________________________* (if applicable) Street Address: __________________________________________* __________________________________________ City: ___________________* County/State/Province: ___________________* Zip/Post Code: ___________________* Country: ___________________* Telephone: _______________________________* Fax: _______________________________ E-Mail: _______________________________* (if any) [ ] Please tick if you want to be excluded from future mailings PRODUCT INFORMATION: ------------------- Product Name: _______________________________* The following information is displayed when you perform a transaction that requires a transaction such as install. These details should be provided by the application. Licence Number: _______________________________* Request Code: _______ _______ _______ _______* NOTE: Please ensure that you have completed all sections marked with a '*'.