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Contact:

Company:*

Position:

Firstname:*

Lastname:*

Street:*

Zip:*

City:*

Country:*

Phone:*

Email:*

 

Location of the system:*

Same as contact

Other address

Company:

Admin Firstname:

Admin Lastname:

Street:

Zip:

City:

Country:

Phone:

Email:

 

Access to the system*

I confirm that access to the relevant systems is ensured on registering for the 7x24x4 on-site-service. Any dead times of the service technician will be charged by actidata on a time basis.

Service-Key-No:

1. Key*

2. Key

3. Key

4. Key

5. Key

Product:* actiLib Autoloader 1U actiLib Library 2U actiLib Library 4U actiLib Library 8U actiNAS Cube 2U RDX actiNAS Cube RDX actiNAS BS actiTape LTO actiDisk RDX actiDisk vTanis RDX

Modell-No.:*

Serial-No.:*

 

Purchase date

System:*

 

actiCart-Services:*

 

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