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Regulatory Notices
C-17
Application Form For Installation Of Modular Telephone Sockets
To the customer:
If your current telephone installation is not equipped with the new modular telephone socket
you must have one fitted by your telephone service provider. Please complete this form and
return it to your local telephone sales office. You will find the address and telephone
number in the your telephone directory.
Name:_____________________________________________________
Address: ___________________________________________________
___________________________________________________________
___________________________________________________________
Postcode: ________ Telephone Number:______________
To Telephone Sales:
Please quote for the supply and fitting of a modular telephone socket at the above address.
The equipment to be connected is:
___________________________________
Approval Number: ____________________
The REN of the equipment is: ___________
International Notice
Due to differing national regulations and approval requirements, certain Xircom products
are designed for use only in specific countries, and may not function properly in a country
other than the country of designated use. As a user of these products, you are responsible for
ensuring that the products are used only in the countries for which they were intended.
For information on specific products, contact Xircom’s nearest regional center:
Xircom Corporate (U.S.A.)
(800) 438-4526
Xircom Europe
+32/(0)3 450.08.11
Xircom Asia Pacific
+65 323 1511