(Goods that are sent to Maxon Australia without a Call Reference Number will not be accepted for warranty/repair. Products that are returned to the Maxon Australia Service Centre and are found to be fault-free may attract a minimum service fee of $60.00)
.

Call Reference Number*
IMEI *	Serial No*
Model*	Operating System*
Choose One ---------------- Next G Telstra Turbo Modem Intelimax Intermax Maxiport ModMax 3G Data Modem maXwan maXvpn Minimax USB Modem Unimax HSDPA Ethernet Router Unimax HSUPA Ethernet Router EtherMax Docking Station	Choose One ---------------- Windows Vista Windows XP Windows 2000 Mac OS X Mac OS X (MacBook Pro) Windows 98 Windows ME Linux Other
Date Purchased*	Invoice Number*
	Copy of Invoice must be provided
Reason For Return*
Choose One -------------- DOA Early Life Failure 12 months Limited Warranty Out of Warranty Repair Credit Required Repair Quotation Required
Reported Fault*
Fault Details*
Contact Name*	Company
Address 1*	Address 2
Suburb*	State*
	Choose One -------------- NSW VIC ACT QLD SA WA NT TAS
Postcode*
Phone Number (Work)	Phone Number (Home)
Email*	Confirm Email*
N.B. NOTE: DO NOT SEND SIM CARD WITH MODEM FOR WARRANTY OR REPAIR