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E-mail• (We NEVER share your address!)
Last Name•
Age•
Address (first line)•
Phone
Address (second line)
Alternate Phone
City•
Fax
State/(Canadian) Province•
 User Type•
Province
Company
Zip/Postal Code•
Title
Country•
Other Info

Select your product:
Product Code•
Serial Number•
Purchase Date•   
(You must enter month, day, and year. You cannot enter 31 for April, June, September or November. )
• • •
Place of Purchase
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Did you purchase this product for:
 

Please answer the following:
How do you access the Internet?
What operating system do you use?
How many computers are in your home?
What is the likelihood that you would choose another USRobotics product?
How would you rate your overall experience in installing and using your new USRobotics product?
We may make our database of mailing addresses available to other reputable companies whose products or services we think you might find interesting. We do NOT share email addresses or telephone numbers with other companies. Can we have permission to make your mailing address available to these companies?

yes       no

Note: If there is a critical update for your product, you may immediately receive an e-mail message, even if you have unsubscribed from USRobotics in the past. This is part of the Product Registration process, and you will not receive any other messages from USRobotics if you have unsubscribed.