CONFIGURATION SHEET
Manufacturer: Purchase Date: Credit Card Order # : Warranty Commencement Date:	Model#: Make: Color:
Agent Info
Computer Type:	Warranty Holder
Notebook Desktop Mid tower WorkStation	Name Address line 1 Address line 2 City/State/Zip Phone Email
Serial Number Warranty Number
Notes
Indicated Actual CPU Frequency:  Indicated Amount of Memory:	O/S Product Key: O/S Type: Other:
Component Mfg Description Case: Screen/Display Size (Notebooks) Case cooling fan Power supply CPU Power Supply Unit Motherboard Processor Processor fan RAM Memory Modem Video Sound FireWire Wireless HDD #1 HDD #2 Optical Drive #1 Optical Drive #2 Floppy Drive Other Other Flash Reader Operating System Other Application Software
If you are unable to locate all the component parts on your system call CWS sales at 1-866-357-5530 for assistance.
Please press SUBMIT or fax this form when completed to 1-512-692-2857 or scan and email to: registrations@computerwarrantyservices.com
Print and fax to 1-512-692-2857