INTELLINET Technical Support Form

Please fill out the form to contact our technical support team. Accurate information MUST be provided to ensure timely response.

I am:

 Place of purchase (name of store):

 Zip Code or Postal Code:

 Date of purchase:

 Account Number:  

 Note: Your account number MUST be accurate to ensure timely response.

 Distributor Name:  

 Note: Your account number and distributor name MUST be accurate to ensure timely response.

I would like to receive my answer in:

Your contact information:

 Name (First, Last): 
 Organization:       

 Email Address:      
 Retype Email:       
 Homepage:           

 Location:

Information about the product:

 Category:          
 Product Name:      
 Barcode#:           (6 digits, see sticker on packaging)

Information about your computer system goes here:

 Server OS:         
 Client OS:

List detailed problem description here: