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?

___________________________________________________________________________________

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D-Link DI-1162M manual Registration Card