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 | * Product installed in type of | * Product installed |
Number | Computer | Incomputer serial |
(E.g.,Compaq(486) |
(* 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
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 ?
Justcom LANsmart Novell NetWare NetWare Lite SCO Unix/Xenix PC NFS 3Com 3+Open Banyan Vines DECnet Pathwork Windows NT Windows NTAS Windows '95 Oothers______________________________________________________________________
5.What network management program does your organization use ?
NMS NetView 6000 Others____________________________________________________
6.What network medium/media does your organization use ?
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 ManufacturingRetail/Chainstore/Wholesale Government
Transportation/Utilities/Communication VAR System house/company Other_______________________________________________________________________
9.Would you recommend your Justcom product to a friend?
Yes No Don't know yet
10.Your comments on this product?
______________________________________________________________________________