-- Technical Support Contact Form -- (Please save this form to your PC, in order to fill in the information and email to tech-support@actisys.com). If you have purchased our product and you need help, please specify the Model Number and Serial Number: Your Name:____________ E-mail:_____________ Tel:_____________ Fax:_____________ Company Name:______________ Actisys Client ID Number (Invoice#, if available):_______________________ Model Number*(Required):_________________ Serial Number with the Prefix*(Required):_________________ Purchase year/ date_________________/from whom (or bundled)? _________________ Your Other Device to Link IR to (Brand, Model#, Function): __________________________ Does it use Raw IR, IrDA, or IrLPT? (If available): _________________________________ _____________________________________________________________________________________ Please enter your Comments (up to 1000 characters): _____________________________________________________________________________________