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Product Registration
First Name
Last Name
Address #1
Address #2
City
State
Zip
Country
Item Purchased
ScanMaster
ScanMaster II
LaserPrint 1000
LaserPrint 5000
Print/Scan 150
Print/Scan 250
Purchase Date
Serial Number
Used for (check one)
Home
Business
Government
Education
Other
Network Operating System (check all that apply)
Windows
Banyan Vines
Netware
IBM Lan Server
PC/NFS
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LanGear Inc. 414 Wittlow Way Farley, SD 85312 1 (800) 555-2377
Contact Tuandelia Williams at
tuandelia2@aol.com
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