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* Name:
Phone Number:
* E-mail Address:
School/Organization:
District:
Customer Code (Lexia Reading v5 Users):
Please select a product Lexia Reading v5: Early Reading Lexia Reading v5: Primary Reading Lexia Reading v5: SOS Early Reading Primary Reading Strategies for Older Students Inicio a la Lectura Quick Reading Test Comprehensive Reading Test Cross-Trainer Teaching Reading: Stages & Strategies Foundation Reading Lexia Admin Lexia Data Monitor Lexia Server Database Service Other
Version:
Please specifiy activity or unit number, if applicable:
To find your product version, look on the back bottom of your CD case for the code (e.g. XXCD-X.X) or Start your Lexia program and look for product version on the Select a Student Name Screen. It is on the bottom left.
(check all that apply):
Windows Please select a version number 98 2000 XP Vista
Mac OS X Please select a version number 10.2.X 10.3.X 10.4.X Other
Mac OS 9.2+
Browser Version Please select a version number Firefox 1 Firefox 1.5 Firefox 2 Firefox 3 Internet Explorer 4 Internet Explorer 5 Internet Explorer 5.5 Internet Explorer 6 Internet Explorer 7 Internet Explorer (Mac) Netscape 4.7 Netscape 6 Netscape 7+ Opera Other (Not Listed) Safari 1 Safari 1.3 Safari 2 Safari 3
Please select an OS and version Macintosh OS 10.2.x Server Macintosh OS 10.3.x Server Macintosh OS 10.4.x Server Windows 2000 Server Windows 2003 Server Windows NT Linux Other
Full Description of Problem (provide as much detail as possible):
