EAS / DVR Service Request
**Entry Required
Although only a few entries are required to submit a service request,
the more information you supply will help us assist you more efficiently.
First Name:  **
Last Name:  **
Position:
Company:  **
Phone:  **     Ext 
Fax:      Email:  
Address:

City:      State:  
ZIP:
Country:

EAS Problem Description

EAS Model:    Serial Number: 
# Pedestals:

EAS Status:
Dead    Not Picking    False Alarming    Weak    Other
Tags/Labels:
Are there any tags or labels within 6 feet of the system?
yes    No
Problem
Description


DVR Problem Description

DVR Model:    Serial Number: 
# Cameras:

DVR Status:
Recording/Showing Images
On Desktop    Blank Screen
Other

Symptom:
No Power    Rebooting    Overheating
WatchDog Activating   Noise
Error Message    Other

Text of Error
or
Problem
Description





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