Product Warranty Application Forms / Hyperline

Application for main cable sub-system and horizontal sub-system form

Attention: all fields are required to fill out!

Ref. No

Date

Information on the customer/owner of the system:

Company Name:

Company Registered Office Address:

Contact Person (Name)

Telephone

Fax

Address of the system under the warranty:

Contact Person at Site (Name)

Telephone

Fax

Hyperline SCS main sub-system specifications

Item

Parts

Quantity

1.	Patch cord\Optic cord

2.	Patch panel\Distribution panel\Fiber-optic panel*

3.	Main cable *

4.	Fiber-optic connector

5.	Fiber-optic adapter

6.	Fiber-optic box

Hyperline SCS Horizontal Sub-System Specifications

Item

Parts

Quantity

1.	Patch cord

2.	Patch panel *\ Distribution panel

3.	Horizontal cable *

4.	Consolidation point

5.	Telecommunication outlet*

6.

* These lines must be completed

Certified Expert Name

Personal certificate number

Company name

Certified expert signature

Telephone

To help prevent automated submissions, please enter the numbers shown in the image below.

** This form must be completed for each of the sub-systems applying for warranty.