TALMAN SUPPORT REQUEST ONLINE REGISTRATION FORM This form has been created to ensure that your issues are dealt with promptly, correctly and should result in a cost saving to you. Please complete all sections of the form as accurately and with as much detail as possible.

Contact Information Your Company:* Your Name:* Your Email Address:* A copy of this form will be sent to this address Account Manager/Support Consultant Phone Number:* Is this an existing issue? If it is do you know the existing SR number? Priority Please select the appropriate option Super Urgent - will be looked at immediately and should a program modification be required it will      be given priority Urgent - will be looked at within 8 hours and any program modification will have a high priority Normal - will be looked at in due course usually 24 to 48 hours Low - will be looked at within 48 to 72 hours Issue Please provide the following information What is the nature of this request? Problem - Incorrect operation of existing functions Enhancement - Additional functionality for existing functions Foxfire General Query Other 1. Please provide a general description of the issue. 2. What program was running at the time and if possible please provide the program name and version, eg WPINTLOT Version 9.00, the program details can be found by clicking on Help About whilst in the program. 3. What was the user doing at the time (i.e. entering data, printing, processing etc)? 4. What was the last act that occurred before the error appeared (i.e. pressed save button)? 5. Are other users affected, and if so who and how are they affected? 6. If the same function is performed a second time, does the problem re-occur? 7. Is it still occurring now? 8. What is the level of impact that the error has on your business (i.e. 'system is down', or 'this function is unavailable, rest of system running OK' etc)? 9. Please provide a copy of the report, error log or screenshot (if applicable) File Size: 1000KB Maximum File Types: .jpg .jpeg .gif .bmp .png .doc .pdf .txt .xml .zip File Size: 1000KB Maximum File Types: .jpg .jpeg .gif .bmp .png .doc .pdf .txt .xml .zip File Size: 1000KB Maximum File Types: .jpg .jpeg .gif .bmp .png .doc .pdf .txt .xml .zip *Required