Printer Manufacturer:  ________________________________

Model #:  _____________________________

Serial #: _____________________________________

When was it purchased?:  ___________

From who was it purchased?:  ____________

Operating System (i.e. Mac, PC, etc): ______________________

Operating System Version (i.e. Windows 7 64 bit, Mac OS 10.7):  _____________________

Version of Citrix Recever:  ___________________

Did you download the latest Receiver from Citrix.com?  Yes / No

Did you contact your printer Manufacturer to make sure you are running the latest driver?  Yes / No

Description of the problem (please attach a screen shot):

Send any steps needed to reproduce the problem.