Please complete and submit this form to request a password or license key for your GT Software product(s).

Name:

Company:

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Phone:

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Physical Location of CPU

Address:

State: - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunwickNewfoundlandNova ScotiaPrince Edward IslandOntarioQuebecSaskatchewanInternational

Postal Code:

City:

CPU #1 Manufacturer:

CPU #1 Model:

CPU #1 Serial Number(s):

CPU #2 Manufacturer:

CPU #2 Model:

CPU #2 Serial Number(s):

CPU #3 Manufacturer:

CPU #3 Model:

CPU #3 Serial Number(s):

Number of S/390 CPUs at this location:

Operating System:

CICS or Transaction Server Version:

IP Address:

(VisualConnect Customers Only)

Client Machine Name:

(Ivory Studio Customers Only)

Are CPUs operating in a parallel sysplex environment?: NoYes

Product in use: - None -3270 Browser3270 Email ClientASSIST/TSASSIST/GTBMS/GTBMS/TSInteractive PortalIvoryProcess ExtenderREAD/GTtcACCESStcEXPRESSvcEmulatorVisualConnect

Release Number:

Facility Management/Mainframe Outsourcer Information

Outsourcer Company:

Address:

City:

State: - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunwickNewfoundlandNova ScotiaPrince Edward IslandOntarioQuebecSaskatchewanInternational

Postal Code:

Contact Name:

E-mail:

Phone:

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