Please use your lightlink username if you know it.
      Your Email

   Customer Name 

Customer Address

    Phone Number 

    Dialing into 
     Computer Is 

Operating System 

  If other, what 

    Do you have other computers?
Other computers? 

    Do you have the same problem with those computers?
   Same problem? 

    What kind of modem do you have?  Windows users -> My Computer ->
Dialup Networking -> hit dialup icon with right mouse button once,
hit on Properties, modem type is listed in the middle.
           Modem  Courrier V.Everything Ext


     What number do you dial up to?  Windows users -> My Compuer ->
Dialup Networking -> double click on your dialup icon, phone number
should be listed.
   Number Dialed  277-0356

     Is your modem line connected to a splitter or directly to the wall?

     Do you have call waiting on your phone line?
    Call Waiting 

     What phone company do you use?
   Phone Company 

  If other, what 

 Problem Started 

If recent, when? 

If always has it 

Disconnections while:
      Signing on 
   Writing email 
     Web surfing 

     What program do you use to read your e-mail?
    Email Client  version #

    What program do you use to browse the web?
     Web Browser  version #

    What other equipment do you have connected to the same phone line
as the modem.
 Other Equipment 

  If other, what 

     What Virus software are you running?
 Virus Software? 

 If other, what? 

    Have you added any new software recently before the disconnects
started happening?
 Added New Soft? 

   If yes, what? 

    Can you hear noise or static on your computer's phone line when
you use it to call out?
  Phone Static?  

    How many separate phone lines do you have with different numbers?
How many lines?  

Have you been online with other providers?

   Which one(s)? 

Did you have connection problems with them?

Why did you switch?

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