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Customer Request Form
All personal information is kept confidential and will not be sold. This information is required because it helps us understand the background and easy to support our customers.
Personal Information (Please provided)
Your Name
Company
Country
Address
Phone Number
Email Address
Industrial
Technical Question
Please provide information about the type of system you are using:
Vendor
Model
Operating System
OS Version
What type of technical assistance do you need?
How would you categorize the severity of the problem? 
Critical - We will contact you immediately.
Serious - We will contact you today.
Medium - We will contact you on or before the next working day.
Low - We will contact you withih 24-48 hours.
What does the problem seem to occur?
What version of the software/firmware are you doing?
Other Question
What is your request/support regarding to?
Please add any other information you think is relevant:
Please check the box if you want to receive latest information.
   
  

 

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