Everbrite Technical Support

Product Line (select one) Make Your Product Line Selection Scoreboards Gas Pricers (LumiDigit) Electronic Message Centers (EMC) Order Confirmation System (OCD)

1. Personal Information:

Contact Name:
Company Name:
Street Address:

City:	State/Province:	Zip/Postal Code:
Telephone:	Cell:
Email Address:

2. Scoreboard Information:

Scoreboard Location:

Ownership: Original Owner New Owner

If New Owner, Original Owner Name:

Determine your scoreboard model # by identifying the console type:

	2000 Series Model# can be found at the top right corner of the console		3000-7000 Series and Mascott Series Model# can be found at the bottom of the console
	3000-7000 Series Model# can be found at the top right corner of the console		8000 Series Model# can be found on the scoreboard Release # can be found under the console
	9000 Series Model # can be found at the top right corner of the console
	My Console is Not Pictured

Scoreboard Model #:
Release #:
Date/Year Purchased:
Purchased From: Direct Dealer	Dealer Name:
Type of Scoreboard: Light Bulb LED Not Sure	The Primary Sport this Scoreboard is used for:

2. Gas Pricer/ EMC Information:

Location:

Ownership: Original Owner New Owner

If New Owner, Original Owner Name:

Date/Year Purchased:
Purchased From: Direct Dealer	Dealer Name:

2. OCD Information:

Location:

3. Describe The Problem:

Existing Incident Numbers (If Applicable): Describe the problem in details:

4. How to Contact You:

Preferred Method: Email Phone Cell Phone Ideal Time to Contact You:

Date:

Time: