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		WAVEPOINT PROBLEM REPORT FORM


Please send this form by Email or Fax to one of the following addresses:

   U.S.A.:
	    Fax:          +1 513 445 5552
	    E-mail:	  norm.haug@daytonoh.ncr.com

   The Netherlands: 
            Fax:          +31 30 609 7552
	    E-mail:	  support@wavelan.com
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GENERAL
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Date:                                    _____________________________________

Customer Name:                           _____________________________________

Contact name:                            _____________________________________

Telephone:                               _____________________________________

Email address / Fax:                     _____________________________________


WavePOINT
-------------

Model Number:                            _____________________________________


SerialNumber:                            _____________________________________


SW Version in WavePOINT:                 _____________________________________


Which wired connection is used:          _____________________________________


Encryption used, what type (DES, AES)?   _____________________________________


NETWORK
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Network Operating System and Version:    _____________________________________

Protocol stack (IPX, IP, Netbeui etc.):  _____________________________________

Frame Type (802.3, Ethernet-II etc.):    _____________________________________

Topology (WavePOINTs, Bridges, 
Routers in communication path):          _____________________________________





PROBLEM DESCRIPTION:
--------------------

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________





LED Status when error occurs; POWER      _____________________________________

                              Wireless   _____________________________________

                              Wired	 _____________________________________


When problem loading WavePOINT, what
errorcode is generated by Configurator:  _____________________________________

