Aricent Customer Service Request Form

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Customer Service Request Form

Customer Contact Information
Company*		Contact Name*
Site / Location*		Phone Number
Date & Time		Fax Number
Customer Reference Number:		E-Mail*

Product Detail
Product Name*		Part No. of the Product*
Operating System		Release No*

Problem Classification
Request Type* Software Fault Information Documentation Third Party Enhancement Priority of Enhancement:: Very High High Medium Low	Severity* Critical Major Minor	Problem Area Binaries Core Stack Encaps Shell Sample Application Other (Please Specify) (recommended <=50 characters)	Problem Sub Area Build/Compilation Configuration Integration Usage Other (Please Specify) (recommended <=50 characters)
	Problem Reproducible Yes No
Customer Problem Description
Problem Title (recommended <=50 characters)*
Details of Request / Problem Description

Fields marked with asterisk "*" are mandatory.

Last updated : March 9, 2007

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