Panasonic dvd-rom &cd-r/rw drive analysis card – Panasonic KXL-CB30AU User Manual

Page 73

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Panasonic DVD-ROM &CD-R/RW Drive Analysis Card

Model Number:

Serial Number:

Device Driver Software Version:

Date of Purchase:

Type of Organization:

(e.g. Government, Industrial, Commercial,
Educational, Medical, etc.)

Drive Application:

(e.g. Desk top publishing, Graphics, Data
Backup, etc.)

Is this the first Drive system
purchased/installed?

Yes

No

If No: Please list model and manufacturer of

previous installations:

What computer will this Drive be used with?

Type of computer:

(e.g. IBM PC/AT, etc.)

May we use your organization as a reference
of being a Panasonic Drive installation to
inquirers?

Yes

No

Comments:

Thank you for your effort in filling out this questionnaire. If you should need assistance from
Panasonic please call:

1-800-PANASYS (726-2797)

Panasonic Digital Document Company
Unit of Matsushita Electric Corporation of America
Two Panasonic Way
Secaucus, NJ 07094

Who is the main user?

Company Name:

Address:

City:

State:

Zip:

Telephone:

FAX:

Contact:

Where did you purchase your Drive?

Dealer Name:

Address:

City:

State:

Zip:

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