B-4
AM4301 User's Guide
Return to
Manufacturer
Authorization Request
Contact Name:
______________________________________________________________
Company Name:
______________________________________________________________
Street Address:
______________________________________________________________
City: __________________________
Province/State:
_________________________
Country: __________________________
Postal/Zip
Code:
_________________________
Phone Number:
__________________________ Extension:
_________________________
Fax Number:
__________________________ E-Mail:
_________________________
Serial Number
Failure or Problem Description
P.O. #
(if not under warranty)
Fax this form to Kontron’s Technical Support department
in North America at (450) 437-0304
in EMEA at +49 (0) 8341 803 339
