*
Customer number
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* First Name |
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* Last Name |
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* Email |
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* Phone |
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* Address 1 |
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Address 2 |
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*
City |
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*
State
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*
Zip
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*
Country
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Camera Model
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Serial number of body |
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Serial number of digital back
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Lens Model
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*
Serial number of lens
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*
Scanner Model
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*
Serail number of scanner
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Firmware in body
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Firmware in digital back
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Phocus Version
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Flexcolor Version
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*
Platform
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*
Operating System Version
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*
Select one
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Card type
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Make and model card used
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*
Description of problem
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