Kontron AM4520 Manual User Manual

Page 37

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Manufacturer

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

in EMEA at +49 (0) 8341 803 339

B-4

AM4520 User’s Guide