RMA Repair Questions

In the unlikely event of a product failure, please complete this form.
You will receive a confirmation and a RMA number for the return of the product.

Contact info
Company name*
Contact name*
E-mail*
Telephone
Product info
Type number of unit*
Serial number(s) of unit
Problem info
Describe the problem you are having (as detailed as possible)*
Some further questions
Ouput connection	USB PS/2 RS-232
Connection direct to the PC	Yes No
No connection direct to the PC	via extensions cables via USB hub via KVM switches Other

PC brand + typenumber
Operating system
Has the unit worked before?	Yes No
Has something changed to the system?

	* = obligatory field

RMA Repair Questions

Contact info

Product info

Problem info

Some further questions