Customer Support Form - Paragon Computer Equipment

Please complete the following form to submit Paragon equipment issues to Paragon's Customer Support department.

Please note: Red fields are required.

Contact Information:

Phone Number: 
E-mail Address: 
Invoice PO#: 
Paragon Sales Rep: 

Technical Contact Information: (If different from above.)

Phone Number: 
E-mail Address: 

Product Information:

  Part Number Serial Number
Product #1: 
Product #2:
Product #3: 

* If more space is needed, please use the "Additional Comments" section at the end of this form.
Action Requested: 
Was the equipment received in good physical condition?   Yes   No
If no, please describe:

Type of Problem:

Wrong Product Received? Yes   No
Wrong Product Ordered? Yes   No
DOA - Dead on Arrival? Yes   No
Power Problem? Yes   No
Console Problem? Yes   No
Password Problem?  Yes   No
Error on Boot-up? Yes   No

If "Error on Boot-up" please copy and paste full "Boot" screen with the error message to a document and then e-mail it to your sales representative or

For Cisco products please include "show ver" and "show mod" if possible.

Module not seen online?  Yes   No
Type of Module added: 
Image version running: 
Connection problem with ports or other equipment?  Yes  No
Please describe: 
Was the equipment updated by customer? Yes  No
Image Software: 

Additional Comments:

Return Notes and Conditions:
  1. If product is returned more than 30 days from the date of invoice or if there are missing parts, a restocking fee may apply.

  2. All replacement products will be invoiced to customer.  Credits will be issued to customer when RMA'd product has been received by Paragon Communications

  3. Returned products are to be shipped to the Massachusetts location using the RMA number as the "Attention To."  Products returned without an RMA number will be refused.

  4. Product damaged in transit due to poor packaging will be the responsibility of the customer.  Paragon reserves the right to refuse shipment or deny credit for product damaged in transit due to improper packaging.

Yes, I understand and accept the "Return Notes and Conditions."