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Technical Support Request Form

Contact Information Customer Name: Customer Phone #: Customer E-mail address: Yes, I have a support contract Contract ID:

System Information Product: ScanMaster ScanMaster II LaserPrint 1000 LaserPrint 5000 Print/Scan 150 Print/Scan 250 Customer operating system: Windows 98 Windows 2000 Windows XP Windows NT Macintosh UNIX Linux OS/2 System memory: 0-64MB 65-256MB +256MB

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LanGear Inc. • 414 Wittlow Way • Farley, SD 85312 • 1 (800) 555-2377

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