D-Link DES-1048G Manual page 30

Print, type or use block letters.
Your name: Mr./Ms______________________________________________________________________
Organization: ________________________________________Dept.______________________________
Your title at organization:_________________
Organization's full address:_______________________________________________________________
Country:______________________________________________________________________________
Date of purchase (Month/Day/Year):_________________________________________________________
Product Product Serial No.
Model
(* Applies to adapters only)
Product was purchased from:
Reseller's name:________________________________________________________________________
Telephone:________________________________ Fax:_________________________________________
Reseller's full address:___________________________________________________________________
______________________________________________________________________________________
Answers to the following questions help us to support your product:
1. Where and how will the product primarily be used?
Home Office Travel
2. How many employees work at installation site?
1 employee 2-9 10-49
3. What network protocol(s) does your organization use ?
XNS/IPX TCP/IP DECnet
4. What network operating system(s) does your organization use ?
D-Link LANsmart Novell NetWare
Banyan Vines DECnet Pathwork
Others_____________________________________________________________________________
5. What network management program does your organization use ?
D-View HP OpenView/Windows
NetView 6000 Others_________________________________________________________________
6. What network medium/media does your organization use ?
Fiber-optics Thick coax Ethernet
100BASE-TX 100BASE-T4
7. What applications are used on your network?
Desktop publishing Spreadsheet
Others____________________________________________________________________
8. What category best describes your company?
Aerospace Engineering
Retail/Chainstore/Wholesale
house/company Other_____________________________________________________
9. Would you recommend your D-Link product to a friend?
Yes No Don't know yet
10.Your comments on this product? _____________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Registration Card (Excluding USA)
Telephone:_____________________ Fax:___________
* Product installed in type of
computer (e.g., Compaq 486)
Company Business Home Business
50-99 100-499 500-999
Others_____________________________________________________
NetWare Lite
Windows NT
HP OpenView/Unix
Thin coax Ethernet
100VGAnyLAN
Word processing
Education Finance
Government Transportation/Utilities/Communication
Personal Use
1000 or more
SCO Unix/Xenix PC NFS
Windows NTAS Windows '95
SunNet Manager
10BASE-T UTP/STP
Others________________________________________
CAD/CAM Database management
Hospital Legal Insurance/Real Estate
* Product installed in computer
serial No.
3Com 3+Open
Novell NMS
Accounting
Manufacturing
VAR System