TO BE FILLED OUT BY USER:

Tsunami MP.11 Antenna Installation

TO BE FILLED OUT BY USER:

Product Description____________________________________________________________________

COMCODE (Product ID)________________________________________________________________

Serial Number________________________________________________________________________

Invoice Date (mm/dd/yyyy):______________________________________________________________

Name:______________________________________________________________________________

Title________________________________________________________________________________

Company ___________________________________________________________________________

Address ____________________________________________________________________________

City/State/Zip Code ___________________________________________________________________

Country ____________________________________________________________________________

Telephone __________________________________________________________________________

Fax ________________________________________________________________________________

TO BE FILLED OUT BY THE DEALER OR DISTRIBUTOR

Dealer Name ________________________________________________________________________

City/State/Zip Code ___________________________________________________________________

Country ____________________________________________________________________________

Telephone __________________________________________________________________________

Fax _______________________________________________________________________________

Warranty (Yes / No) __________________________________________________________________

Comment __________________________________________________________________________

Return Approval Reference ____________________________________________________________

Reported Problem

Problem Description

Copyright © 2006 Proxim Wireless Corporation. All rights reserved.

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Proxim Tsunami MP.11 manual To Be Filled Out By The Dealer Or Distributor, To Be Filled Out By User, Reported Problem