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Cincom Product Support Request
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indicates a required field.
Company ID:
Company Name:
Contact Name:
E-mail Address:
Phone Number:
Fax Number:
Severity:
Choose the appropriate severity
1 - Production system down
2 - Severe restrictions
3 - Some functions unavailable
4 - All other
Country Code:
Choose the appropriate country
Al-Khobar
Argentina
Australia
Austria
Bahrain
Belguim
Bolivia
Brazil
Canada
Chile
Columbia
Croatia
Denmark
Dubai
Ecuador
France
Germany
Greece
Guatemala
Holland
India
Israel
Italy
Japan
Jeddah
Korea
Kuwait
Mexico
Monaco
New Zealand
Norway
Panama
Paraguay
Peru
Philippines
Riyadh
Saudi Arabia
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
United Kingdom
United States
Uruguay
Venezuela
Other - not listed
Product Name:
Product Release:
Component:
Operating System:
Case Number: (if known)
Description:
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