-Request for SITE-LICENSE Option Floating License AVS/Express 7 EduServ/CHEST License-
 Return license request to supporteurope@avs.com
 
 Only use this form if you have selected the SITE LICENSE option and require
 a floating license.
  
 --------------------------------
 Indicate 3 or 5 Year Deal
 --------------------------------
 
 [ ] 3 Year Deal Expiry: 30-June-2010
 [ ] 5 Year Deal Expiry: 30-June-2012
 
  
--------------------
Contact Details
---------------------

Name: 
Organisation: 
Email Address 	
Address 1:
Address 2:
Address 3:
City:
State:
Zip:
Country 
Phone:
Fax: 

--------------------------------
FLOATING LICENSE
--------------------------------

LICENSE TYPE
[ ] Floating


VERSION
[ ] AVS/Express Developer Edition
[X] AVS/Express Visualization Edition
[ ] AVS/Express Runtime Edition


---------------------
SERVER HOSTID
---------------------

Select your Host ID and enter it below. Select only 1 from the 3
choices below. The Ethernet Address can only be used for Windows,
Linux and Mac OSX. The Volume Serial Number is for Windows only.

[ ] IP Address:
[ ] Ethernet Address:
[ ] Windows Serial Number:


-----------------
CLIENT MACHINES
-----------------

Enter the Internet Network Address for your client machine(s) running AVS/Express.
For more information on what this is see http://www.webopedia.com/TERM/C/CIDR.html.


Internet Network Address:      
( Example 189.23.45.0/16 )


Number of Users: 


PLATFORM
[ ] PC
[ ] Mac
[ ] Linux
[ ] Sun
[ ] HP/Compaq/Alpha
[ ] Hewlett Packard
[ ] Silicon Graphics
[ ] IBM
[ ] All 

Operating System:

[ ] Are you upgrading from 6.x

AVS/Express Version:
System Make & Model: 
Old Hostid: