For Office Use: License # ___________ Employment Verified: ____________ Ticket # ______________ File Sent ___________ Registration for TechSmith Software Installation Use this form to request a license to use TechSmith software on a workstation owned or leased by Purdue University or a workstation personally owned by an employee of Purdue University. The person who owns or administrates the workstation on which the software will be installed should complete this request. NAME (Printed) Last PURDUE ID # First MI CAMPUS ADDRESS for Purdue Owned Computer Dept Bldg Room Phone LOCAL ADDRESS for Personally Owned Computer Address CAREER ACCOUNT USER LOG IN NAME UNIVERSITY STATUS: Faculty City State Zip WORKSTATION for University Owned Computer Product Staff WORKSTATION for Personally Owned Computer Number of Installations Product Number of Installations Camtasia Windows _____ Mac _____ Camtasia Windows _____ Mac _____ SnagIt Windows _____ Mac _____ SnagIt Windows _____ Mac _____ I acknowledge that this software is copyrighted and licensed property of TechSmith Corporation. I will not distribute this software, provide it to unlicensed parties, or use it in violation of the company’s End-User License. If I cease to be employed by Purdue, I understand that I am required to uninstall the software licensed to me from any workstation under my control, or arrange the software’s transfer to a new licensee using the workstations by contacting ITaP Licensing at itap-licensing@purdue.edu. I assume responsibility for the workstation(s) cited on this form where the TechSmith software will be installed and will cooperate with University personnel in the administration of Purdue’s site license. SIGNATURE: DATE: Return completed form to ITaP Software Distribution Itap-licensing@purdue.edu