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Technical support request form – Teletronics WINC900A User Manual

Page 42

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Technical Support Request Form

Date : / /

Company Name :

Address :

Contact Person :

Title :

Telephone # :

FAX # :

E-mail Address :

WINC 900A
Serial Number (S/N)

1:

3:

2:

4:

Connected External Device

Communication Software

___ PC
___ Terminal

Others :
(please attach connector’s pin out)

___ MS-Window’s Terminal
___ Procomm
Others :

Details of problem :