SSG - Xerox Customer Support Form

GCC contact information

Contact email:

Contact full name:

Customer email: Confirm email: Customer full name: Account Type:

Customer country: Customer phone: Customer time zone: Support Language:

Type of support needed: Operations center: Account name: Pursuit / Chargeback: Application:

GSEC: Urgency: Impact: Serial number (if applicable): Existing Ticket:

Short description: Detailed description:

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