Laptop Battery Submission Form:

First Name*

Last Name*

Company Name

Address 1*

Address 2

City*

State/Province/Region*

Zipcode*

Country

Phone*

Fax

Email*

Company the battery was purchased from*

Date the battery was purchased*

Order / Case #

Model of the Laptop the battery is being used with*

Model# of BTI Battery*

Serial# of BTI Battery*

Detail of problem & comments*

How many times have you fully charged and depleted the battery?

When fully charged what is the highest percentage indicated by the laptop system?

After fully charging how long will the battery run without the AC adapter? (in hours)

Does the computer warn you before shutting down?

What operating system do you use? (Windows Vista, XP, etc.)

BIOS version / date Obtain at: Start / All Programs / Accessories / System Tools / System Information

SMBIOS version Obtain at: Start / All Programs / Accessories / System Tools / System Information