Personal Information
Last Name
First Name
Address
City
State
Zip Code
Daytime Phone
Second phone number
E-mail
General System Information
Computer Brand
Acer
Compaq
Dell
HP
Samsung
Proteva
Systemax
Sony
Jetta
Samsung
NBI Built System
Other (list below)
Type
Desktop
Laptop
Palmtop
Server tower
Server Blade
Server Rack
Model
Mother Board manufacture and model
Processor type
Celeron
Pentium
Pentium II
Pentium III
Pentium 4
Pentium D
Core Solo
Core 2
Core 2 duo
Core 2 Quad
Core I7
Zenon
Zenon Mp
Duron
Athlon
Athlon XP
Athlon MP
Athlon 64
Opteron
Don"t Know
Other
If other please list
Number of Processors
1
2
4
8
16
32
Memory type
30 pin simm
72 pin simm
Dimm
Rambus
DDR-400
DDR 2
DDR-3
Memory Speed
PC 32
PC 66
PC 100
PC 133
DDR-266
DDR 333
DDR 400
DDR 800
DDR 1066
DDR 1333
Other
If other please list
Memory Amount
32 Meg or less
64 Meg
128 Meg
256 Meg
128 X2 Dual Chanel (256)
512 Meg
256 X2 Dual Chanel (512)
1024 Meg
512 X2 Dual Chanel (1024)
2
Gig or more
Other
Don't Know
Power Supply size
180 watt
250 watt
300 watt
350 watt
400 watt
450 watt
500 watt or greater
Number of Power Supplies
1
2
Hard Drive Information
Hard
drive #1
Hard drive size
None
8 Gig or Less
10
Gig
20 Gig
40 Gig
80 Gig
120 Gig
160 Gig
200 Gig
250 Gig or Greater
500 Gig
750 Gig
1 Terabyte
1.5 Terabyte
2 Terabyte
Drive speed
Not Sure
4200 rpm
5400 rpm
7200 rpm
10,000 rpm
15,000 rpm
Interface
Not Sure
Pata
Sata
scsi
scsi 2
Ultra scsi 160
Ultra scsi 320
Brand
Not Sure
Western Digital
Maxtor
Seagate
Samsung
Quantum
IBM
Other
Raid
None
Raid 0
Raid 1
Raid 0+1
Raid 5
Hard drive
#2
Hard drive size
None
8 Gig or Less
10
Gig
20 Gig
40 Gig
80 Gig
120 Gig
160 Gig
200 Gig
250 Gig or Greater
500 Gig
750 Gig
1 Terabyte
1.5 Terabyte
2 Terabyte
Drive speed
Not Sure
4200 rpm
5400 rpm
7200 rpm
10,000 rpm
15,000 rpm
Interface
Not Sure
Pata
Sata
scsi
scsi 2
Ultra scsi 160
Ultra scsi 320
Brand
Not Sure
Western Digital
Maxtor
Seagate
Samsung
Quantum
IBM
Other
Raid
None
Raid 0
Raid 1
Raid 0+1
Raid 5
Hard
drive #3
Hard
drive size
None
8 Gig or Less
10
Gig
20 Gig
40 Gig
80 Gig
120 Gig
160 Gig
200 Gig
250 Gig or Greater
500 Gig
750 Gig
1 Terabyte
1.5 Terabyte
2 Terabyte
Drive speed
Not Sure
4200 rpm
5400 rpm
7200 rpm
10,000 rpm
15,000 rpm
Interface
Not Sure
Pata
Sata
scsi
scsi 2
Ultra scsi 160
Ultra scsi 320
Brand
Not Sure
Western Digital
Maxtor
Seagate
Samsung
Quantum
IBM
Other
Raid
None
Raid 0
Raid 1
Raid 0+1
Raid 5
Hard drive #4
Hard
drive size
None
8 Gig or Less
10
Gig
20 Gig
40 Gig
80 Gig
120 Gig
160 Gig
200 Gig
250 Gig or Greater
500 Gig
750 Gig
1 Terabyte
1.5 Terabyte
2 Terabyte
Drive speed
Not Sure
4200 rpm
5400 rpm
7200 rpm
10,000 rpm
15,000 rpm
Interface
Not Sure
Pata
Sata
scsi
scsi 2
Ultra scsi 160
Ultra scsi 320
Brand
Not Sure
Western Digital
Maxtor
Seagate
Samsung
Quantum
IBM
Other
Raid
None
Raid 0
Raid 1
Raid 0+1
Raid 5
If more than four hard drives list size and configuration
Other Storage
First optical drive
CD-ROM
CDRW
DVD-ROM
DVD-RW
DVD-RAM
Blue Ray
Pata ATA
SATA
Second optical drive
CD-ROM
CDRW
DVD-ROM
DVD-RW
DVD-RAM
Blue Ray
Pata ATA
SATA
Third
optical drive
CD-ROM
CDRW
DVD-ROM
DVD-RW
DVD-RAM
Blue Ray
Pata ATA
SATA
Forth
optical drive
CD-ROM
CDRW
DVD-ROM
DVD-RW
DVD-RAM
Blue Ray
Pata ATA
SATA
If more than two optical drives please list them here
Floppy drive
Yes
No
Zip drive
100 meg
250 Meg
750 Meg
LS120 Drive
Yes
No
USB card
reader-writer
Yes
No
Other Devices
Please list any other devices (modems, network cards,
printers, ect)
Software
Operating System
DOS any verison
Windows 3.1
Windows 3.11
Windows 95
Windows 98
Windows 98 se
Windows 2000
Windows me
Windows xp Home
Windows xp Professional
Vista Basic
Vista Home Premium
Vista Ultimet
Windows 7 Basic
Windows 7 Home Premum
Windows 7 Ultimet
Windows nt 4
Windows server 2000
Windows server 2003
Linux
Other
If other please list
Installed Programs (please List)
Problem
Please state with as much detail the problem you are
having that caused you to request tech support
Please list any error messages you have received
Type of
support and charge agreement
Priority Support
No
Yes
By
selecting "I Agree" you are authorizing NBI to process a
charge to your credit card ,that we have on file, in the
amount of $50.00, ($75.00 for priority support) and are
agreeing to pay the charge in accordance with your card
holder contract. NOTE: if you disagree this form will not be processed
and your support request will not be answered. If you were looking for free support please visit our support forums at
www.nbicomputers.com/bb
I Disagree
I Agree