DCM-100 Ethernet Cable Modem

Register by mail or online at http://www.dlink.com/sales/reg/

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 regarding this product?

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

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D-Link DCM-100 user manual Registration Card, Print, type or use block letters