HP SureStore Optical Disk Drive User's Guide - C1114-90015

Appendix A A-15

Supplies and Customer Support

Warranty

Supplies and

Customer Support

Maintenance Contract: number __________________________________

_____ VISA______ MASTER CARD _____AMERICAN EXPRESS

Credit Card Number_______________________________________________

Expiration Date___________________________________________________

Signature ____________________________________ Date _____________

Purchase order number:___________________

Billing Address:

________________________________________________________________

Authorized Signature: ___________________________________________

Phone __________________________

What needs to be done?

Describe the conditions at the time of failure. (What were you doing when the

failure occurred? What software were you running? Is the failure repeatable?)

__________________________________________________________________

Additional comments:

___________________________________________________________________

___________________________

Thank you.