ASUSTeK TECHNICAL SUPPORT REQUEST FORM         DATE: 	
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ORIGINATOR DESCRIPTION
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COMPANY NAME : 				CONTACT NAME:  
PHONE (AREA) : 				FAX # (AREA):  
EMAIL ADDRESS: 	
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HARDWARE DESCRIPTION
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MOTHERBOARD  : 			REVISION #: 		     BIOS:#401A0-
CPU BRAND    : 			SPEED(MHz):
DRAM BRAND   : 			SPEED(ns) : 		     SIZE(MB):
CACHE BRAND  : 			SPEED(ns) : 		     SIZE(KB):  
HARD DISK    : 			MODEL NAME: 		     SIZE(MB): 
CDROM BRAND  : 			MODEL NAME: 		
BACKUP BRAND : 			MODEL NAME: 		     SIZE(MB): 
OTHER STORAGE: 			MODEL NAME: 		     SIZE(MB): 
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ADD-IN CARD DESCRIPTION (MODEL NAME/VENDOR)
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(E)ISA SLOT 1:  
(E)ISA SLOT 2:  
(E)ISA SLOT 3:  
(E)ISA SLOT 4:	
   PCI SLOT 1:  
   PCI SLOT 2:	
   PCI SLOT 3:  
   PCI SLOT 4:  
   PCI SLOT 5:  
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SOFTWARE DESCRIPTION
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OPERATING SYSTEM:	
APPLICATION SOFTWARE:	
DEVICE DRIVERS:		
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PROBLEM DESCRIPTION (WHAT PROBLEMS AND UNDER WHAT SITUATIONS)
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