ONLINE Product Registration --  For use in the United States and Canada ONLY

Macsense Connectivity welcomes your comments and suggestions. We request that you complete this form to help us to help you with your questions, comments, and criticisms. Information provided is confidential and will be used for our internal reference only. Thank you.

 STEP 1 - Contact Information 

First name* Last name*
Organization
(if for business use)
Department
Address
*
City
* State* Zip*
Daytime Phone
* (###)###-#### x####
E-mail*

 STEP 2 - Background Info 

What is your age group?*

What type of user are you?*

How many people, including yourself, are at your location?*

If you're registering a networking product, what kind of Internet access do you have?

 STEP 3 - Product Info 

Product Purchased?* 

Where is it purchased?*

Purchase Date (as on Invoice):*  mm/dd/yyyy

Please enter the product serial number:* 

Note: The serial number can be found both on the backside of your unit. You may see one of the following examples similar to yours. Please make sure that you enter the digits correctly. This is the single most important information on this form, so please double check your entry before submitting.

Enter the number "123456789"

Enter the number "123AU00000"

What was the Main Reason you Purchased this Product?*

Note: Before you submit, please look over your entry to make sure all fields are filled completely and correctly. Please do not press the submit button twice.  If you're experiencing problems with this form, or if you have multiple products or quantity to register, please send your information to . Any comments and suggestions regarding our products, please write to . Updated 8/23/03.

(press only once)