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reverse engineering fact sheet form
Contact Information
Contact Person
Phone
Country
Contact Information
Company Name
Company Website
Industry Type
To which Industry does your company belong?
Other
Product Type
Type
Product Information
Make
Model Number
Revision Number
Serial Number
Other
Product Questions
Is the Original Equipment Manufacturer (OEM) still in business?
If Yes, has the OEM been contacted?
Is the assembly obsoleted?
Is the assembly still supported?
Quantity
How many units are you looking for?
Reverse Engineering Support
To support reverse engineering of the assembly can you supply:
Other
Additional Notes
Has there been any problems in the past with this product? Would you like any functionality or upgrades added in order to improve your product? (i.e. heat, speed, communication...)
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