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?

!Home !Office !Travel !Company Business !Home Business !Personal Use

2. How many employees work at installation site?

!1 employee !2-9 !10-49 !50-99 !100-499 !500-999 !1000 or more

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 !NetWare Lite !SCO Unix/Xenix !PC NFS !3Com 3+Open !Banyan Vines !DECnet Pathwork !Windows NT !Windows NTAS !Windows '95 !Others________________________________________________________________________________

5. What network management program does your organization use ?

!D-View !HP OpenView/Windows !HP OpenView/Unix !SunNet Manager !Novell NMS

!NetView 6000 !Others___________________________________________________________________

6. What network medium/media does your organization use ?

!Fiber-optics !Thick coax Ethernet !Thin coax Ethernet !10BASE-T UTP/STP

!100BASE-TX !100BASE-T4 !100VGAnyLAN !Others_________________________________________

7. What applications are used on your network?

!Desktop publishing !Spreadsheet !Word processing !CAD/CAM

!Database management !Accounting !Others_________________________________________________

8. What category best describes your company?

!Aerospace !Engineering !Education !Finance !Hospital !Legal !Insurance/Real Estate !Manufacturing

!Retail/Chainstore/Wholesale !Government !Transportation/Utilities/Communication !VAR

!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? _________________________________________________

_________________________________________________________________________________