Product Upgrade and Media Request


	Required fields are listed in bold with an asterisk (*) beside them.

Product Information


	Please enter the product information for the upgrades and media you are requesting. Please note that physical media may not be available for all releases.

		Product Serial Number	Current Version	Requested Version	Ship Physical Media

*	1:
	2:
	3:
	4:
	5:
Note: If you are upgrading from CyberGuard Classic to Sidewinder 7, note that DEC-based NICs are not supported. Contact your Secure Computing channel partner or reseller for information on purchasing a NIC upgrade.

End User Information


	This first section should be filled out with the end user details only. Resellers/distributors should enter end user data here to ensure valid support is activated for the end user.

End User Company Name:

Address:

City:

State (US/Canada):

State/Province (Non US/Canada):

Postal Code:

Country:

Contact First Name:

Contact Last Name:

Contact E-mail:

Contact Phone:

Additional Comments


	Please enter additional comments or special handling instructions into the space provided below.

* Enter text shown in image below:

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