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 Flash Copy Tower:____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

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.

30www.aleratec.com