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Customer Type

Incident Category

Service Category

Subject

Main Ticket

Main Product

Offered Solution

UoM

Locale

Contact Details

Title

First Name

Last Name

Phone Number

Email Address

Confirm Email Address

Language

Shipping Address

Please fill in the address where you would like to receive your replacement product(s).

Street

Number

City

Zipcode

Country

State

Number of replacement products

Please select the number of power supplies that need replacing.

Quantity

Your Proof

Please provide detailed information about the power supply you are requesting replacement for. If you are requesting more than one unit to be replaced, you can fill in multiple values in the same fields. If you are in doubt where to find the information on the power supply unit(s) please refer to the frequently asked questions.

Model number(s)

Date code(s)

Purchase date

Product picture(s)

Comments

Submitting the request

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Yes

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Request Type