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Customer Data
Request
Address
ATM Details
First name
*
Last name
*
Email Address
*
Phone
*
Company
Next
Category
*
--None--
FLM
SLM
Installation
ATM Removal
FLM
--None--
Printer Error
Communication Error
CDU Error
Site Visit
Recover Journal
Modem Replacement
Keypad Troubleshoot
SLM
--None--
Software Upgrade
Part Replacement
Hardware Upgrade
Tech Meet
Dispenser Swap
Reprogram
Install or Change Lock
PO Sales Order
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Next
Location name
Street
*
City
*
State / Province
*
ZIP / Postcode
*
Location contact name
Location contact phone
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Next
ATM terminal ID
*
ATM Serial Number
ATM Manufacturer
*
--None--
Hyosung
Genmega
Triton
Diebold
ATM Manufacturer (Other)
Comm Type
--None--
TCP IP
Wireless
Dial Up
ATM model
Wireless Serial Number
Processor
--None--
CDS
FIS
Switch Commerce
DNS
Other
Processor (Other)
Master PW
Vault PW
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