Support Request Form

Jupiter provides support to customers whose systems are under warranty or software support contract.  If your system is not under warranty or software support contract, please contact your local sales representative.

Please fill out the form completely.  It is important that you give us as much information as you can about your system and the problem you are having so that we can accurately and quickly diagnose the problem.  We will respond to completed forms within 1 business day. 

Contact Information
Name: *
Title: *
Company: *
Address: *
City: *
State: *	--Choose One-- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming
Zip: *
Country: *	United States Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahama Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambiqu Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan  Tanzania  Thailand   Timor-Leste  Togo  Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe
Work #: *
Cell #:
E-mail: *
Bus. Type:*	----  Choose One ---- Consultant Contractor Dealer End User Integrator OEM Other
Model: *	----  Choose One ---- Catalyst 4000 Catalyst 1000 PixelNet 3G-SDI Input Node PixelNet Analog HD Input Node PixelNet Audio Output Node PixelNet DVI Input Node PixelNet DVI/KM Input Node PixelNet PDC Computer PixelNet Quad SD Input Node PixelNet TeamMate Output Node SVS-8 Streaming Video Fusion 930 Fusion 940 Fusion 950 Fusion 960 Fusion 964 Fusion 970 Fusion 980 Vizion VizionPlus VizionPlusII NT850 NT870 MX710 MX730 MX750 Others
Serial #: *
PixelNet * enter NA where not applicable
PDC Version
Number of output nodes
Number of input nodes
Number of switches
PDC Computer by Jupiter Systems?	Yes No
Fusion
Galileo Version: *
Operating System: *	------ Choose One ------ Windows 2000 Pro. Windows 2000 Server Windows XP Windows XP Server Vista and Windows 7 Other
No. of Graphic Channels: *
No. of RGB Capture Chan:
No. of Octal VideoBoards:
Screen Resolution: *
Wall Geometry: *	(for example: 3x2)
Case Description
Case Symptom: *	--- Choose One --- Application problem Blank screen Blue Screen  (BSOD) Boot problem Configuration problem ControlPoint issue Fails during boot Graphics Problem Hardware Issue Input node issue Installation problem Linux OS issue Network problem Output node issue Out of disk space errors Out of memory errors RGB Problem Software issue Software upgrade issues Suggestion Switch issue System 'Hang', 'Lock-up' Video problem Windows OS issue Won't power on Other
Enter a detailed case description:
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