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RMA Request Form

This form is ONLY for the Xircom® CreditCard Wireless Ethernet Adapter,
Xircom® Wireless Ethernet Access Point, Xircom® SpringPort™ Wireless
Ethernet Adapter, Xircom® Wireless LAN Module for Palm* Handhelds or
Xircom® Bluetooth Adapters. If you are not sure what product type you
have, you can find it in on Identify Your Wireless Device.

Please fill out the following information and fax the request form
along with your proof of purchase to:

North America 1-800-582-1071
Europe 44 (0) 870 567 3012
Asia Visit this link for numbers
Japan Contact your place of purchase or call 0120-868686

An RMA packet will be faxed to you with an RMA number and instructions
for returning the product.

PLEASE DO NOT RETURN PRODUCT WITHOUT GOING THROUGH
THIS PROCESS. PRODUCTS SHIPPED TO INTEL WITHOUT AN RMA
NUMBER MAY BE RETURNED WITHOUT BEING REPLACED.

Product Name:

Serial or part number on product:

Reason for return:

Company name:

Contact name:

Address (NO P.O. BOXES PLEASE):



City/State/Zip/Country (Postal or Pin code if applicable):

Phone number (include area code and country code if applicable):

Fax number:

Email address:

This applies to:
Xircom® CreditCard Bluetooth* Adapter (CBT)
Xircom® CreditCard Wireless Ethernet Adapter (CWE-1120)
Xircom® CreditCard Wireless Ethernet Adapter (CWE-1130)
Xircom® RealPort2™ Bluetooth* Adapter (R2BT)
Xircom® SpringPort Wireless Ethernet Adapter (SWE1130)
Xircom® Wireless Ethernet Access Point (APWE1120)
Xircom® Wireless LAN Module for Palm* Handhelds (PWE1130)



Solution ID: CS-008369
Date Created: 15-Jan-2004
Last Modified: 22-Apr-2008
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