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Panasonic DVD-ROM &CD-R/RW Drive Analysis Card
Model Number:
Serial Number:
Device Driver Software Version:
Date of Purchase:
Type of Organization:
(e.g. Government, Industrial, Commercial,
Educational, Medical, etc.)
Drive Application:
(e.g. Desk top publishing, Graphics, Data
Backup, etc.)
Is this the first Drive system
purchased/installed?
Yes No
If No: Please list model and manufacturer of
previous installations:
What computer will this Drive be used with?
Type of computer:
(e.g. IBM PC/AT, etc.)
May we use your organization as a reference
of being a Panasonic Drive installation to
inquirers?
Yes No
Comments:
Thank you for your effort in filling out this questionnaire. If you should need assistance from
Panasonic please call:
1-800-PANASYS (726-2797)
Panasonic Digital Document Company
Unit of Matsushita Electric Corporation of America
Two Panasonic Way
Secaucus, NJ 07094
Who is the main user?
Company Name:
Address:
City:
State: Zip:
Telephone:
FAX:
Contact:
Where did you purchase your Drive?
Dealer Name:
Address:
City:
State: Zip: