                               Fantazia Concepts                   FantClip1000
                                P.O. Box 5142
                            Willowick, Ohio 44095

Serial Number:____________________          Today's Date:___/___/___
  You can Fax this form to 216-951-9241 or EMail to FantaziaC@AOL.COM
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Company Name:_____________________________________

Name:_____________________________________________ 

E-Mail Address:____________

Address:_____________________________________   Apt.:_______

City:______________________________  State:____   

Zipcode:________ -______  Country (Blank if USA):__________________

Phone Number (Optional):_____-_____-_______ Ext. ________

Fax Number (Optional):_____-_____-_______
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Name of the Font You are having problems with:_____________________

Program you were using when you had the problem:___________________

Computer Type:______________________________________________

System Version Ex 6.0.7:______________ CD-ROM Brand:_____________ 

How much Memory is installed in your system:______________________

Describe the Problem:_________________________________________

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Thank you for taking the time to fill out this form. We will make every effort to fix the problem ASAP. Some problems just can not be fixed. We will give you an answer or possible solution to your problem.
