Echelon LonMaker - Manual (Page 381)

LonMaker User’s Guide 365
(or fax if e-mail is not available) to ensure that there are no
errors in transcribing the serial number and key values.
LonMaker Serial Number:
PC Key:
Select one of the following payment methods and fill in
the information for the requested method:
[ ] Credit Card (minimum order of 20 credits; only required
if you are ordering LonMaker credits without a purchase
order)
Type of Credit Card:
[ ] American Express
[ ] MasterCard
[ ] Visa
Name on Credit Card:
Credit Card Number:
CSC or CVC Number:
Expiration Date:
Credit Card Billing Address (if different than above):
Name:
Address Line 1:
Address Line 2:
City:
State/Province/Region:
ZIP/Postal Code:
Country:
[ ] Purchase Order (minimum order of 20 credits; only required
if you are ordering LonMaker credits without a credit card)
Purchase Order Number:
Authorized By:
Company Billing Address (if different than above):
Name:
Address Line 1:
Address Line 2:
City:
State/Province/Region:
ZIP/Postal Code:
Country:
[ ] No charge evaluation, development, test, support,
production, training, or replacement credits (check
all that apply). By submitting an order for free
credits, you agree that you will use these free
credits only for the authorized purposes that you
have selected below, and you agree that you will
provide Echelon with information as reasonably
requested by Echelon to verify that the use of
these LonMaker Credits is limited to the authorized
uses. There is no minimum order size; maximum
order size is indicated below.