Registration Card

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 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 ?

Justcom LANsmart Novell NetWare NetWare Lite SCO Unix/Xenix PC NFS 3Com 3+Open Banyan Vines DECnet Pathwork Product Model Product SerialWindows NT * Product installed in type ofWindows NTAS * Product installedWindows '95 Oothers______________________________________________________________________

5.What network management program does your organization use ?

Number D-View ComputerHP OpenView/Windows Incomputer serial HP OpenView/Unix (E.g.,Compaq(486)SunNet Manager Manual backgroundNovell

NMS Manual backgroundNetView 6000 Manual backgroundOthers____________________________________________________

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

Manual background Fiber-optics Manual backgroundThick coax Ethernet Manual backgroundThin coax Ethernet Manual background10BASE-T UTP/STP

Manual background 100BASE-TX Manual background100BASE-T4 Manual background100VGAnyLAN Manual backgroundOthers______________________________

7.What applications are used on your network?

Manual background Desktop publishing Manual backgroundSpreadsheet Manual background Word processing Manual background CAD/CAM

Manual background Database management Manual background Accounting Manual background Others______________________________________

8.What category best describes your company?

Manual background Aerospace Manual backgroundEngineering Manual backgroundEducation Manual backgroundFinance Manual backgroundHospital Manual backgroundLegal Manual background Insurance/Real

Manual background Estate Manual background ManufacturingRetail/Chainstore/Wholesale Manual backgroundGovernment

Manual background Transportation/Utilities/Communication Manual background VAR Manual backgroundSystem house/company Manual background Other_______________________________________________________________________

9.Would you recommend your Justcom product to a friend?

Manual background Yes Manual background No Manual backgroundDon't know yet

10.Your comments on this product?

______________________________________________________________________________

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JustCom Technology JC-M102U Registration Card, Product Model Product Serial, Product installed in type of, Number