*First Name:
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*Last Name:
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*Company Name:
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*Address:
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*City:
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*State:
Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other Please select an item.

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*Zip Code/Postal Code:
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*Country:
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*Phone:
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*Email:
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*CyberData Part#:
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*Serial #:
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Firmware Version (If applicable):

*Date Purchased:
mo 01 02 03 04 05 06 07 08 09 10 11 12 Please select an item. day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Please select an item. year 2010 2009 2008 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 Please select an item.

*Where Purchased:
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What is the IP PBX system being used?:

What is the IP PBX system's software version?:

What is the model of the PoE switch being used?:

Are there any other SIP devices currently attached and working on the PBX?:
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What is the make and model of SIP phone being used?:

Can you access the internal webpage?:
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On the internal webpage, do the audio test diagnostics work?:
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Have you reviewed our IP PBX setup page?:
http://www.cyberdata.net/support/server/
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Are you using the latest firmware level?:
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Are you capable of providing a Wireshark type of network trace?:
http://www.wireshark.org/about.html
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I am a (select one of the following):
Select User Enduser Reseller Distributor OEM Other

*Describe Problem:
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