Aleratec 240131 Technical Support Fax Back Form, Aleratec, Inc, Technical Support FAX Back Form, To: Technical Support Group FAX:

Technical Support FAX Back Form

Aleratec, Inc.

Technical Support Fax Back Form

Please record the following information to help expedite any warranty claim:

Model No.:_ _______________Serial No.: _____________________________

Date Purchased: __________________________________________________

Place of Purchase:_________________________________________________

To: Technical Support Group FAX: 1-818-678-0483

FROM:_ ______________________ FAX: _____________________________

E-MAIL: _ ______________________________________________________

RE:_ _________________________ TEL: _____________________________

DATE:_________________ # OF PAGES: _____________________________

I am experiencing the following problems with my DVD/CD Disc Repair Plus:

_____________________________________________________________

By answering these questions, your problem will be solved more rapidly. Make copies as necessary. You can reach us electronically at: www.aleratec.com on the internet.