TB-11-7010-293-15-2
Request For AKMS Warranty Work
UNIT (Complete Unit Address):
DATE (MM/DD/YYYY):
PRIMARY POINT OF CONTACT
UNIT PHONE # (Include Area Code):
(POC):
ALTERNATE POC:
EMAIL ADDRESS OF PRIMARY &
ALTERNATE POC (If Applicable):
CONTRACT # FOR ITEM REQUIRING WARRANTY WORK: DAAB15-99-D-
0010.
SERIAL # OF END ITEM REQUIRING WARRANTY WORK (Provide the serial
number from the back of the Panasonic CF 71 laptop or the Port Replicator.
DESCRIPTION OF PROBLEM (Define in as much detail as possible and as
clearly as possible, the problem with the hardware.):
NOTE: Do Not Use This Form For Software Related Problems.
EMAIL THIS FORM TO: GTSI
URL service@gtsi.com
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