Online Product Registration Form
Customer Information
Your Name:
Title:
Company Name:
Address:
City:
State or Province:
Zip:
Country:
Phone:
Fax:
Email Address:
KONEXX Product
Date Purchased:
Purchased from:
City:
Zip:
Price Paid:
What type of computer are you using?
Desktop
Laptop or Portable
Handheld
Brand & model:
(
Eg. IBM Thinkpad)
Modem brand & model:
(Eg. Xircom Credit Card Modem 33.6)
Phone system & model:
(Eg. Rolm Phone 612)
What are you using this Konexx Product for? (Check all that apply)
Autodialing
Field communications
Communications from Hotels
E-mail
Faxing
Office Communications
Internet connection
International travel
Teleconferencing
Cordless phone
Other
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