THANK YOU FOR YOUR TRUST IN BERCA SUPPORT
Company Name* :
MACHINE LOCATION
State / province* :
City* :
Zip Code* :
Address* :
CUSTOMER CONTACT
Name* :
Mobile / workphone* :
Email* :
Case Type Problem : —Please choose an option—SoftwareHardware
Device Serial Number* :
Product Brand* :
Product Number :
Case Severity* : —Please choose an option—*P1 Critical*P2 High*P3 Medium*P4 Low
Special Site and Specific instruction if any :
Case Type* : Hardware or Software Problem Description :
*The submitted data will help us find personalized solution to your problem.
How do you know about this solution or campaign ? select opitionWebsiteSocial MediaSalesEmail CampaignOthers
This will close in 0 seconds