<p>Firmware Upgrade Request Form </p><p>Please note that ALL points on this form must be completed BEFORE Nomadix will perform the firmware upgrade.</p><p>Information about you: Company name: Your name: Phone number: E-mail: </p><p>Information about the site: Name of the site: Address:</p><p>Information about the USG: NSE’s Serial Number: NSE ID: NSE’s Network IP address: Administrator username: Administrator password: Do you allow Nomadix to back up your /flash/ directory Yes: No: </p><p>Information about the upgrade: Current software Installed: Requested software release: </p><p>Information about the WAN connection: WAN type (e.g. ATM, E1, T1, xDSL): Any ports blocked (e.g. 23, 53): </p><p>Please return this form to Nomadix. Fax: +1 818 597 1502 E-mail: [email protected] </p><p>If you are covered by McLaren Support Services, please submit directly to [email protected] </p><p>Upon receipt of this form, we will verify the eligibility for the upgrade and contact you regarding it. This process may take up to 72 business hours.</p><p> www.mclarenint.com </p>