|
Contact
Information |
| First
name : * |
|
Last name :
* |
|
Company Name
: |
|
Address: * |
|
Country : * |
|
Phone Number
: |
|
| E-mail Address : * |
|
What is your
job function ? |
|
Other Management
Functions |
|
May we know
your age if you are willing to let us know ? |
|
| May DrayTek send you information
via Email about DrayTek contests for products release notes?
* |
Yes
No |
| May DrayTek send you information
via email about DrayTek contests for new products announcements
? * |
Yes
No |
|
Purchase
Information |
Product Name
: * |
|
Product Serial
Number : * |
(on bottom of device) |
Date of Purchase
: * |
/ |
Where did you
get the product information ? |
|
Where did
you buy ? |
NAME for dealer/VAR/distributor
purchased cost, VAT exclu. |
On what operating
system are you running DrayTek product ?
* |
|
Where will
you use DrayTek product ? |
|
What is your
major application other than Internet Access for using
DrayTek product ? * |
|
Do you have
other USB peripherals ?
(For TA users) |
|