The University of Florida has licensed the SPSS system of software products for use by its employees and registered students on personal computers under the control of UF or its subsidiaries. The license is renewed each December 1 and license fees will be charged at that time. If you have any questions about the terms of the license agreement, contact your department's SPSS contact person.

Mail or fax this form to CIRCA, E520 CSE, (FAX #: 392-3760).

Please read both pages of this form. There are blanks on each page that must be filled in before you can get a copy of the SPSS products. Your signature, that of a witness, and that of your chairperson, director, or dean are required on the second page of this form.

Server brand/model:	________________________________________________
Server CPU serial number:	________________________________________________
Maximum simultaneous copies:	________________________________________________
Location of server:	________________________________________________
Location of workstation:	________________________________________________
Network manager's name:	________________________________________________
Campus mailing address:	________________________________________________
Phone:	________________________________________________
Department:	________________________________________________
Department contact person:	________________________________________________

	Unit Price	Units	Extended Total
SPSS License fee for Win 3.11 ____ Win 95____	$45.00	________	________
Diskettes (3.5")	$15.00	________	________
CD-ROM(for Win 95/NT only)	$15.00	________	________
		Amount due:	________

ID Encumbrance:

_______________

To be filled out by CIRCA:

SPSS serial #s:	Starting:________	Ending:________
Media serial #:	__________________
CIRCA representative (signature):	_________________________________
CIRCA representative (print):	_________________________________
Date:	_________________________________
Ann's Invoice#:	_________________________________