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