DIRECTA TOKEN FILE REQUEST FORM

Submit to Process, Power & Marine Order Management and Service Center: Email address: [email protected] Phone: 1-800-766-7701 FAX number : (256) 730-3478 [ Items bolded and noted with an * are Mandatory. Requests will not be processed until form is complete.]

Select One : *

Initial Directa Token Order Directa Token Re-order Change HostID

Company Name: *

Customer Site ID / LAN ID #: *

Customer Contact Name: *

Customer Contact Phone: *

Customer Contact Email: *

Customer Contact Address: *

Select Type of license being requested: * Production License: Backup License:

Enter full Version Number License is for e.g. 03.02.xx.xx : *

WA/Order Number that lists the purchased Directa software: *

License file ID from current TKNPOOL.DAT: *

One Unique Address of Directa Workgroup Server (where Directa TOKEN Production License file will reside) * HostID # (also known as MAC or Physical Address) alphanumeric (12 characters): or DISK_SERIAL_NUM (hexadecimal number (8 digits) :

One Unique Address of Directa Backup License server (if applicable) (License file shipped with 5000 Daily Tokens) :) HostID # (also known as MAC or Physical Address) alphanumeric (12 characters): or DISK_SERIAL_NUM (hexadecimal number (8 digits) :

Directa TOKEN File Serial # (only req’d on Directa token re-orders): *

Directa TOKEN File Lock # (only req’d on Directa token re-orders): * Note: For instructions on how to obtain the HostID # and the Token File Serial & Lock #’s please reference the Directa Installation Guide under the section entitled Adding Tokens.

Number of Directa Daily TOKENS requested --> *

Number of Directa Perpetual TOKENS requested --> *

Check if the following products have been purchased in addition to Directa-TKN

Product Applicable Feature

[  ] Directa-TKN ------(omf) [ ] Directa Life Cycle Manager Server-TKN ------(lcm) [ ] Advanced Product Configurator Server-TKN ------(apc)

12/09/1999