<p> DIRECTA TOKEN FILE REQUEST FORM</p><p>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.]</p><p>Select One : *</p><p>Initial Directa Token Order Directa Token Re-order Change HostID </p><p>Company Name: *</p><p>Customer Site ID / LAN ID #: *</p><p>Customer Contact Name: *</p><p>Customer Contact Phone: * </p><p>Customer Contact Email: *</p><p>Customer Contact Address: * </p><p>Select Type of license being requested: * Production License: Backup License:</p><p>Enter full Version Number License is for e.g. 03.02.xx.xx : *</p><p>WA/Order Number that lists the purchased Directa software: *</p><p>License file ID from current TKNPOOL.DAT: *</p><p>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) :</p><p>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) :</p><p>Directa TOKEN File Serial # (only req’d on Directa token re-orders): * </p><p>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. </p><p>Number of Directa Daily TOKENS requested --> * </p><p>Number of Directa Perpetual TOKENS requested --> * </p><p>Check if the following products have been purchased in addition to Directa-TKN</p><p>Product Applicable Feature</p><p>[  ] Directa-TKN ------(omf) [ ] Directa Life Cycle Manager Server-TKN ------(lcm) [ ] Advanced Product Configurator Server-TKN ------(apc)</p><p>12/09/1999</p>