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fields marked with an asterisk ( * ) are required

Legacy G1 Range Only
Name *
Company *
City
Country *
State/Province
Phone *
Fax
Email *
Codec Model
Serial Number (e.g. 5003, 5004, etc) (How do I find the serial number?) *
G3 Firmware Version (How do I find out the firmware version?)
G3 Enabled Features (How do I find out what G3 Features are enabled?)	Matrix Failover Captioning IP Streaming
CPU Sofware Version
DSP Music Software Version
DSP Voice Software Version

ISDN Type
IP Address:
DSL Service Upload
DSL Service Download
Firewalled	Yes No
Do other devices share this modem	Yes No
If yes, please list the devices
Fault Description (please include the equipment you are connecting to the Tieline and communicating with over the link)