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Product Registration
First Name Last Name Address #1 Address #2 City State ZIP Country
Item Purchased LanPass 115 LanPass 125 LanPass 250 FastSwitch 200 FastSwitch 400 LG 10Mpbs LG 10Mpbs/w LG 100Mpbs LG 100Mpbs/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/N
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LanGear Inc. · 414 Wittlow Way · Farley, SD 85312 · 1 (800) 555-2377