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Registration Card
Print, type or use block letters.
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. * Product installed in type of
computer (e.g., Compaq 486)
* Product installed in
computer 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?
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