HP Surestore 5200ex series Optical Disk Drives - Manual (Page 55)

Appendix A A-15
Supplies and Customer Support
Warranty
Su
pp
lies
an
d
Cu
st
om
er S
upp
ort
Maintenance Contract: number __________________________________
_____ VISA______ MASTER CARD _____AMERICAN EXPRESS
Credit Card Number_______________________________________________
Expiration Date___________________________________________________
Signature ____________________________________ Date _____________
Purchase order number:___________________
Billing Address:
________________________________________________________________
________________________________________________________________
Authorized Signature: ___________________________________________
Phone __________________________
What needs to be done?
Describe the conditions at the time of failure. (What were you doing when the
failure occurred? What software were you running? Is the failure repeatable?)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Additional comments:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________
Thank you.