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Kontron AT8402 Diagnostics Manual User Manual

Page 39

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Authorization Request


Contact Name:

__________________________________________________________

Company
Name:

__________________________________________________________

Street
Address:

__________________________________________________________

City: ________________________

Province/State:

_______________________

Country: ________________________

Postal/Zip

Code: _______________________

Phone
Number:

________________________ Extension:

_______________________

Fax Number:

________________________ E-Mail:

_______________________


Serial Number

Failure or Problem Description

P.O. #

(if not under warranty)

Fax this form to Kontron’s Technical Support department in North America at

(450) 437-0304 and in EMEA at +49 (0)8341 803 XXX