Matrox Electronic Systems II - Manual (Page 133)

Product Assistance Request Form
Name:
Company:
Address:
Phone:
Fax:
E-mail:
Hardware Specific Information
Computer:
CPU:
System memory: PCI Chipset:
System BIOS rev:
Video card used:
Resolution:
Network Card: Network Software:
Other cards in system:
Software Specific Information
Operating system:
Rev:
Matrox SW used: Rev:
Compiler: Rev:
Fill out only if you are returning a board
RMA #:
Who were you talking to in customer support?
Date board was received:
Date of failure:
MOD #:
These numbers are on the label at the
back of the board. SER #:
REV #:
PMB #:
PNS #:
Can you reproduce the problem? Yes ❐ No ❐
Is an error code displayed? Yes ❐ No ❐ If so, what code?
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