I'm having this problem with the latest Windows Evernote and Outlook 2003 as well. I can accept that living with Outlook 2003 (IT will get us upgraded at some point!) means problems with newer software, but it boggles my mind that Evernote simply hooks into programs like Outlook during install/upgrades without even asking for permission. That is absolutely unacceptable. I was living with it because, like you guys, I could (EVERY time I install/upgrade) disable it as a COM add-in via advanced options, but now I can't do a thing about it despite Outlook 2003 and Evernote not getting along at all. I'm an Evernote Premium user and it's going to get to the point that I can't even use it at work because of this (uninstalling Evernote AND cleaning registry items being the only fix). Would greatly appreciate some assistance from Evenote on this.