Title pretty much says it all... the studs for the RAM screws don't line-up with the holes on the card. The card's core says it is R430, and Arctic Cooling's guide indicates that it should work:
http://www.arctic-cooling.com/downloads/compatibility/ati_comp_1024.gif
What should I do?
http://www.arctic-cooling.com/downloads/compatibility/ati_comp_1024.gif
What should I do?