Moxa Technologies CP-118EL Problem Report Form, B-3, Company:, Tel:Fax:, Email:Date:, Customer name:, 2.Serial Number:, Problem Description:, 1. MOXA Product: † CP-118EL

PCI Express Board User’s Manual Service Information

Problem Report Form

MOXA PCI Express Board Series

Customer name:Company:Tel:Fax:Email:Date:

1. MOXA Product: † CP-118EL † CP-168EL † CP-104EL

2.Serial Number: _________________

Problem Description: Please describe the symptoms of the problem as clearly as possible, including any error messages you see. A clearly written description of the problem will allow us to reproduce the symptoms, and expedite the repair of your product.

B-3