Name:*
E-mail:*
Phone #:
Alternate Phone #:
Subject:*
Product Model:*
(Example: X5DA8, More Info.)
Serial Number:
(Example: SM123456, More Info.)
PCB Rev:
(Example: 1.01, More Info.)
BIOS Rev.
(Example: 1.0, More Info.)
CPU Clock:
(Example: 2.66 GHz)
CPU FSB:
(Example: 133 MHz)
Operating System:
(Be as specific as possible!
Example: Redhat Linux 9.0, Kernel: 2.4.20-13.9)
Memory Modules, Quantity:
(Example: 512MB Corsair, 6)
AGP Slot:
Expansion Slots
PCI Slot #1: ISA Slot #1:
PCI Slot #2: ISA Slot #2:
PCI Slot #3: ISA Slot #3:
PCI Slot #4:
PCI Slot #5:
PCI Slot #6:
ATA IDE Devices
Primary Master:
Secondary Master:
Primary Slave:
Secondary Slave:
On-board SCSI, SATA, or USB Devices:
Comment or Question:*
All * marked fields are required.