
Appendix B – License Code Request Form
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Appendix B - License Code Request Form
License Code Request Form
Kindly complete and confirm the details below and fax this form to: +44 1932 859211
Company
Contact name
Contact email
Telephone
Fax
Address
Post Code
Country
AS/400 Serial No.
Model
Processor Group
(WRKLICINF)
Agent or Distributor
Comments
If software is required to be sent and the AS/400 is not located at the same address as indicated
above please provide the appropriate delivery address and contact details below.
AS/400 Contact
Contact email
Telephone
AS/400 Address
Post Code Country
Requested By Date
Position _______________________________
Unit 12b, Weybridge Centre, 66 York Road, Weybridge, KT13 9DY, United Kingdom Tel: +44 (0) 1932 848564
Company Registration Number: 01795263 VAT number: 492 6942 05
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