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REGISTRATION for the ASE PCMCIA card

Please fill out the following product registration information and submit it to Applied Systems Engineering, Inc.

Your ASE PCMCIA should be registered in order to obtain software update notifications and enhanced technical support. Please fill in all fields. Required fields are indicated with an *.

Applied Systems Engineering, Inc. will not share information provided with any company or individuals outside Applied Systems Engineering, Inc.

Company Name:*	*
Contact First Name:*	*
Contact Last Name:*	*
Email:*	*
Telephone:*	*
Street Address:
City:
State:
Postal Code:
Country:
Fax:

PCMCIA Serial Number *	Dual Channel Modem (with ASE2000-PCM-M models only)
P- *	MB-

Please include the company the test set was originally purchased from:
Purchased From:
Purchase Date:

	I would like to receive notice of new software/firmware releases.
	I would like to receive emails for new product releases.
	I would like to receive information on training courses.
	I would like to receive further details about SAM Substation Annunciator.
	I would like to receive further details about ASE's Bell-202 modems.
	I would like to receive further details about the SPT, SCADA Protocol Translation and Data Concentrator, product line.

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