Benchmark Electronic Systems – Tech Support Registration Form

RESOURCES & SUPPORT – TECH SUPPORT

Benchmark Electronics' highly-qualified technical support team is committed to providing you with all the assistance that's needed to take help you to minimise your downtime and get the most out of your product.

Please help us to help you by filling in all the required fields in the Tech Support Form below, with particular attention to the Comments Box. Thank you.

	Fields marked with an * are required.
First Name*:
Middle Initial/Name:
Last Name*:
Designation :
Company/Institute*:
Department* :
Address 1 :
Address 2 :
City*:
State :
Zip/Pin Code*:
Country*:
Phones*:	Area Code Phone Number Extn.
E-mail*:	(Enter xx@xx.xx if you do not have an e-mail address)
Product*:	Select any one of the product categories or products below and then enter your comments in the text box.

Comments*:
Year of Purchase*:	Four digits (yyyy)
	*These fields are required.

QUICK CONTACTS

Beijing:
Phone: (+86-10) 6211 5743
Fax: (+86-10) 6211 5843

Chennai:
Phone: (+91-44) 2496 0227
Fax: (+91-44) 2496 1561

Delhi:
Phone: (+91-120) 466 4900
Fax: (+91- 120) 466 4999

Kolkata:
Phone: (+91-33) 2355 7978

Singapore:
Phone: (+65) 6749 3372
Fax: (+65) 6749 3326