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If you have purchased our product and you need help, please specify the Model Number and Serial Number:

Your Name*:

Email*:

Phone*:

Fax:

Company Name*:

ACTiSYS Client ID Number (Invoice#):

Model Number*:

Serial Number with the Prefix*:

Purchase Date:

From whom (or bundled)?:

Your Other Device to Link IR to (Brand, Model#, Function)*:

Does it use Raw IR, IrDA, or IrLPT? (If available):

IR Adapter connects to (PC / Notebook / Tablet / Smartphone / etc.?):

Your Operating system/ver.# (Windows XP/7/8/10) / Surface / WinCE / Mac / iOS / Android?):

Please enter your Comments (up to 1000 characters)*:
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