Technical Support Request Form
Contact Information
Your name:
Your phone number:
Your e-mail address:
Yes, I have a support contract.
Contract ID:
System Information
Product:
LanPass 115
LanPass 215
LanPass 315
LanPass 415
Your Operating System:
Windows 98
Windows 2000
Windows XP
Windows Vista
System Memory
0 - 64MB
65 - 256MB
257 + MB
Support Issue
Message to Tech Support:
LanGear Inc.
· 19 Deer Path, Holmdel NJ 07733 · (732) 555-1234
