Matrox Multi Specifications download pdf (Page 69)

Product Assistance Request Form

Name:

Company:

Address:

Phone: Fax:

E-mail:

Hardware Specific Information

Computer: CPU:

System memory: PCI Chipset:

System BIOS rev:

Video card used: Resolution:

Network Card: Network Software:

Other cards in system:

Software Specific Information

Operating system: Rev:

Matrox SW used: Rev:

Compiler: Rev:

Fill out only if you are returning a board

RMA #:

Who were you talking to in customer support?

Date board was received: Date of failure:

MOD #: These numbers are on the label at the back of the board.

SER #:

REV #:

PMB #:

PNS #:

Can you reproduce the problem? Yes

 No 

Is an error code displayed? Yes  No 

If so, what code?

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