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Product Registration
First Name
Last Name
Address #l
Address #2
City
State
ZIP
Country
Item Purchased
LanPass 115
LanPass 125
LanPass 250
FastSwitch 200
FastSwitch 400
LG 10Mbps
LG 10Mbps/w
LG 100Mbps
LG 100Mbps/w
Purchase Date
Serial Number
Used for (check one)
Home
Business
Religious or Charitable Institution
Government
Educational Institution
Network Operating System (check all that apply)
Netware
Banyan Vines
Windows
IBM Lan Server
PC/NFS
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LanGear Inc. · 414 Wittlow Way · Farley, SD 85312 · 1 (800) 555-2377