To help us serve you, please use this form to request support or information about Printronix Printers.  Please provide as much information as you can so Printronix Technical Support will be better able to help you with your problem.

All items in BOLD are required fields.

Your Company:
Type of Request:	Problem      Information
Name:
Title:
Address:
Address (cont.):
City:
State:
Country:
Zip/Postcode:
Phone Number:
Fax Number:
E-mail address:
Your Customer's Name:
Information about the Printronix Printer you are requesting help with:
Printer Model:
Printer Serial Number:
Emulation:	Select One LP+ PGL VGL (code V) PCL5 FGL SGL
Emulation Version Number:
Host Type:	Select One PC AS400 IBM Mainframe DEC Other Mainframe Other
Operating System:	Select One MS DOS / PC DOS Windows 3.x Windows 95 Windows NT 3.x Windows NT 4.0 IBM OS/2 Netware 3.x Netware 4.x UNIX IBM AIX UNIX H-P UX IBM AS400 Other
Primary Connection:	Select One Serial Parallel Ethernet TCP/IP Ethernet Netware IBM SNA
Other Information:
Detailed Problem Description or Information Request:
Problem Type:	Choose One Hardware Software Firmware
Problem Impact:
Number of Printers:
Problem Consistency:
Reproducible:	YesNo
Priority:

Other Information:

Available Troubleshooting Information:
(select the items that you currently have available)

Configuration Printout	Sample 'Good' Output	Sample 'Bad' Output
Buffer Dump EBCDIC	Hex Dump ASCII	SDCU Dump
Azure Trace	CCI Capture	Serial/Parallel Capture
Application File	Test File	IBM Format Tape
Other:

Problem Information:

Background:

Brief Problem Description or Information Request:

Detailed Description: