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Product Registration
First Name
Last Name
Address#1
Address#2
City
State
Zip
Country
Item Purchased
Lan Pass 115
Lan Pass 125
Lan Pass 250
FastSwtich 200
FastSwitch 400
LG 10Mpbs
LG 10Mpbs
LG 100Mpbs
LG 100Mpbs
Purchase Date
Serial Number
Used For (check only one )
Home
Business
Charity
Government
Educational Institution
Network operating system ( check all that apply )
NetWare
Banyan Vines
Windows
IBM LAN SERVER
PC/NFS
Comments
LanGear Inc. 414 Wittlow Way Farley, SD 85312 1 (800) 555-2377