Customer Support Request

Please fill out the contact information (note that the Name and E-mail address are required), select the type of request, and enter the information in the Comments field. When completed, click the Submit button.

Your Name:

Company Name:

Phone:

Ext.:

Fax:

Email:

I need the following resolved (Select only one):

Question
Problem
Request for Software Change

If you are requesting a software change, please be sure to provide the following information:

Program Number

Reason for Change? (What business problem are you trying to resolve. Enter as much information as possible.)

Fax the details, any report examples, and/or screen layouts to (908) 725-1341.

Comments: Please describe in detail the question, problem, or software change below:

Universal Business Systems, Inc. 185 Industrial Parkway Suite J, Somerville N.J. 08876