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.

Computer brand/model:	________________________________________________
CPU serial number:	________________________________________________
Location of computer:	________________________________________________
Your 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#:	________________________________________________