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Your name: Mr./Ms_____________________________________________________________________________
Organization: ________________________________________________ Dept. ____________________________
Your title at organization: ________________________________________________________________________
Telephone: _______________________________________ Fax:_______________________ _________________
Organization's full address: ______________________________________________________________________
____________________________________________________________________________________________
Country: ____________________________________ _________________________________________________
Date of purchase (Month/Day/Year): _______________________________________________________________
Product Model
Product Serial
No.
(* 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
Company Business
2. How many employees work at installation site?
1 employee
2-9
10-49
50-99
3. What network protocol(s) does your organization use ?
XNS/IPX
TCP/IP
DECnet
Others_____________________________
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
100VGAnyLAN
7. What applications are used on your network?
Desktop publishing
Spreadsheet
Database management
Accounting
8. What category best describes your company?
Aerospace
Engineering
Education
Retail/Chainstore/Wholesale
Government
System 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
* Product installed in type of
computer (e.g., Compaq 486)
Home Business
Personal Use
100-499
500-999
1000 or more
NetWare Lite
SCO Unix/Xeni
Windows N
Windows NTAS
Windows '95
HP OpenView/Uni
SunNet Manager
Thin coax Ethernet
10BASE-T UTP/STP
Others_________________
Word processing
CAD/CAM
Others_____________________
Finance
Hospital
Legal
Insurance/Real Estate
Transportation/Utilities/Communication
* Product installed in
computer serial No.
PC NFS
3Com 3+Open
Novell NMS
Manufacturing
VAR
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