Fields mark with * are required.

AC Adapter Submission Form:

First Name*

Last Name*

Company Name

Address 1*

Address 2

City*

State/Province/Region*

Zipcode*

Country

Phone*

Fax

Email*

Company the ac adapter was purchased from*

Date the ac adpater was purchased*

Kindly upload evidence of your order (.pdf).

Order / Case #

Must provide proof of purchased*

Only PDF (.pdf) files allowed

Model of the Laptop the AC Adapter is being used with*

Model# of BTI AC Adapter*

Serial# of BTI AC Adapter*

Detail of problem & comments*

What color is the LED light when plugged in?

How many tips did the adapter come with?

What is the number or letter marked on the tip you are using?

Does the adapter tip fit your laptop?

Yes

Does the adapter get hot when used?

Yes

Is the adapter making any noise?

Yes

You may upload up to 2 images. Each image has a max size of 2MB.

File(s)