DeltaV System Registration Routing Information Send to: Email: LicCode.EPM-Austin@emersonprocess.com DeltaV Registration Center From: Location: Fax No: Company: 1-512-834-7666 Fax No: IMPORTANT / Your registration will be acknowledged by mail, with instructions for obtaining phone consultation, technical information, and other system support. If you purchased Foundation Support at the time of system purchase, completing this registration is still required to initiate service. DeltaV software may be used only in accordance with the terms and conditions of the applicable Emerson Process Management license agreement. End User Information Company Name: Street Address: Post Office Box: City: State/Providence: Postal Code: Country: End User Contact Information Receives product updates and notifications for the end user Contact Name: Fax No: Phone Number: E-mail Address: Company Name (If different from above): Street Address: Post Office Box: City: State/Province: Postal Code: System Identification Number* Country: 0 0 0 1 – 0 0 0 x – __ __ __ __ *Can be displayed by going to the DeltaV Explorer screen and selecting Licensing under the Setup menu. This number will become your Internet on-line service and faxback modem access code after registration and activation of software. System Registration Date Date Software Activation Keys are first loaded by the End User: Warranty Registration, Equipment Serial Numbers PC workstations (Dell tag number): Controllers (Serial number beginning with an “L”): Power supplies (Serial number beginning with an “A”): Software Version Identification Version number from DeltaV Software CD: Version number of Microsoft NT/XP operating system: Please fax or email this completed form to Emerson Process Management at: Emerson Process Management DeltaV Registration Center Austin, TX 78754 USA FAX: 1 (512) 834-7666 LicCode.EPM-Austin@EmersonProcess.com