
| Part Description | Cost | |
|---|---|---|
| PCBA Main Board | $ | 145 |
| PCBA I/O Board | $ | 145 |
| Card Readers | $ | 145 |
| 6000K EPP | $ | 125 |
| Receipt Printer | $ | 195 |
*Indicates Required Fields
| Company Name* |
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Company Phone #* |
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|---|---|---|---|
| Contact Name* |
|
E-mail address* |
|

| Part Number* |
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Part Serial Number* |
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|---|---|---|---|
| Part Description |
|
ATM Serial Number |
|
| Problem Description* |
Subject : |
||
| Comment |
|
||
| Customer PO # |
|
|---|

| Name* |
|
|---|---|
| Company Name* |
|
| Country* | |
| Address1* |
|
| Address2 |
|
| City* |
|
| State* |
|
| Zip Code* |
4-digit Ext.
|
| Phone Number* |
|