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We are sorry that you are experiencing difficulty with a QuickScan application.   Please completely fill out the form below.  After you've clicked the Submit button at the end of the questionnaire, your problem will be transmitted to BDS instantly and we'll get right back to you with a solution.

What kind of comment would you like to send?

Problem Wish List Praise

Which QuickScan application does this comment concern? (This is a required field)

What is the modification date of your program (there is usually a button labeled with a lower case "m" or "modification date", which, when clicked, displays the modification date somewhere on the QuickScan application's Main Menu screen)  (This is a required field):                                            

          

When exactly does this error or problem occur (what screen are you in, which button are you clicking, etc., at the time the error occurs)  (This is a required field, type N/A if you are not reporting a problem):

 

As accurately as possible, enter the wording of the error message (if applicable):

 

Additional comments:

Tell us who you are... (These are required fields)

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Please contact me as soon as possible regarding this matter.

Revised: May 09, 2005.

Contact: Email   *  PO Box 182 * Kingston Springs * TN * 37082-0182 *  USA 
Telephone 1.615.646.5098  *  FAX 1.615.646.0327
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