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?

______________________________________________________________________________________