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  1. Technical Point-of-Contact (PoC) Name*, Email* (and phone #, if available):  Technical Point-of-Contact (PoC) Name, Email (and phone #, if available), ex:  John Doe, johndoe-model@mega.org, 555-123-4567
  2. Organization Name* & Group (if you are a large organization):  Name of your organization + group name (if you are a large organization), ex:  MegaOrg, Modeling-Division (specify this in the Organization field)
  3. Features or other options*: The license will give access to the features and other options requested here, ie: one or more of CREO, DOORS, JAMA, JIRA, GitHub, MySQL, NX, SIMULINK, TC, WC, etc.  (note, license quantities can only be issued per product VS per feature, ex:  12 x (CREO, DOORS, JAMA) VS 1 CREO, 12 DOORS, 4 JAMA)  If you are an existing customer please also specify whether this license request will replace/augment your existing license(s) or be separate from it/for a different project.    
  4. Client MAC Address*:  Permanent (ie: Ethernet) MAC address of the machine where the client software will run (note, please avoid providing MAC addresses of virtual of pseudo network devices, ie: VPN, as they are usually temporary). 
  5. Total # of Licenses*:  Number of node-locked licenses needed. Eval license quantities > 1 (within reason) are available upon request.  
  6. Syndeia Version*:  Version of Syndeia software being requested
  7. Platform*:  Platform where the client host will run (ex:  Windows (32/64-bit) v8, 10; Linux RHEL/CentOS v6.4; Mac OSX v10.13, etc.). 

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