Personal Information:

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Purchase Information:

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Date of Purchase:
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Scanner Info:

Scanner Model:
If OTHER, Please Specify:
Serial Number:
Power Source Comes From:

About Your Scanner:

OpticPro/FB Line of Flatbed Scanners:

Does the Scanner have an LED?
Parallel Port Mode:
Parallel Port I/O Address:
Printer Status:

Sheetfed Line of Scanners:

IRQ Setting:
I/O Address:

About Your Computer:

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Cpu Type:
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Printer Make/Model:
Printer is Connected To:

Have you previously discussed this situation with a Plustek Technician?

Technician's Name:
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Message:

Please record a detailed message pertaining to any problems, or questions that you have about your Plustek scanner below. When finished, please click the SUBMIT button to process this form to Plustek USA.