.: TECH SUPPORT :.
 
E-mail : Our sales support can be contacted at edward@genexinfo.com
Phone : The  sales  representative will be available on 302-355-0917 (Mon-Fri 9 am- 6:30 pm EST)
Fax : Please print out this form, fill it and Fax it to us at 302-266-6165
 
 
Genex-GPS
MENTION THE ADDRESS HERE AND PHONE from the web site
 
       
  Name : ___________________________________________
  Company : ________________________________________
  Address : _______________________________________
  City : _________________________________
  State : ___________________________
  Zip : __________________
  Phone : ___________________________
  Fax : ___________________________
  Customer # : _______________________
  Number of pages : __________________
  Date : __________________
  Time : _______________
  Requirment/ description of enquiry : _________________________________

__________________________________________________

__________________________________________________
  Signature : _________________________________
  Date : _______________________
       
 
 
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