-Request for SITE-LICENSE Option Node-Locked 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 locked license. Please complete one form for each Node-Locked License required. -------------------------------- 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: -------------------------------- NODE LOCKED LICENSE -------------------------------- LICENSE TYPE [X] Node Locked VERSION [ ] AVS/Express Developer Edition [X] AVS/Express Visualization Edition [ ] AVS/Express Runtime Edition 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: PLATFORM [ ] PC [ ] Mac [ ] Linux [ ] Sun [ ] HP/Compaq/Alpha [ ] Hewlett Packard [ ] Silicon Graphics [ ] IBM Operating System: [ ] Are you upgrading from 6.x AVS/Express Version: System Make & Model: Old Hostid: