PikaOne - Support - Assistance téléphonique

Personal Information

* My first name :		*My last name :

*Country :		My phone number :

Company Name :		Address :

City :		Zip Code :

* My e-mail address :		* Confirm e-mail address :

System Information

*Your computer: * type:

* Your computer Brand (eg: Fujitsu):

* and Model (eg:Amilo-D):

* Version of the operating system:
        Other :

* Your Computer CPU (eg: Pentium 4):

* and Speed (eg: 2000): MHZ

* System Bus Interface:
USB    USB2    FireWire     FireWire 800

* Bus interface type
(eg: PCCARD, PCI, On Motherboar):

* Card interface Brand and model
(eg: Adaptec AUA 1420):

Product Information

* Name of the PikaOne product :

* PikaOne serial number (eg: 0332006):

* Date of purchase:

* Place of Purchase (eg: amazon.co.uk):

* Use of the product
Personal Professional Both

Additional Information

Please describe your problem or question:
Error messages, symptoms, frequency of occurance, etc.
(FR or ENG only)

*required field