CID #:

Ticket #:
Pick-up Info
Date:
Time:

Software License Information Center (SLIC)

Order Form
This form will detail the software requested and is necessary for the fulfillment of the site license agreement. Read and complete the information below, select
payment method (attach this form to your Costs Transfer or (IU), if this is your payment method).

Name

Date

Department

Payment Information
(Circle one)

IU

Address

P-Card Number

Call SLIC with P-Card # (293-4684)

Telephone

Expiration Date

Email

P-Card Holder Name

Cost transfer

P-Card

Month _____Year _____

___________________

Please list software license and CD(s) requested.

Refer to the SLIC web page for license fees: http://oit.wvu.edu/slic/

Media
Quantity

List items Requested and CD Fees

MAC/Win

Unit Cost

Total Cost

CD Fee ($10.00 per CD/DVD or $35 per dual layer DVD title)
Total Cost of order:
Terms and Conditions
1. Software can only be sold to WVU Faculty and Staff, and can be paid with a Cost Transfer, IU, Expenditure Reduction
2.
3.
4.

5.
6.
7.

form, or University credit card. Complete this Software/Order Distribution form; attach this form to the appropriate
financial form. Mail all to: SLIC Program, WVU Technology Support Center, PO Box 6501, Morgantown, WV 26506
For most software, annual licenses are distributed and these licenses must be renewed each year. In most cases the
renewal license fee is less than the initial license fee.
For network installations, a license must be purchased for the number of concurrent users and be metered to prevent
usage of more licenses than legally purchased. Departments must verify how the software is metered.
Licensee agrees not to create, or attempt to create, or permit or help others to create the source code from the
software furnished pursuant to this agreement. Licensee agrees that it will not reverse engineer or decompile the
software.
Questions regarding this procedure can be directed to the Help Desk at 293-4444.
I agree to comply with the terms and conditions of this license agreement.
After installation of the above software, you must send SLIC a list of PCs where the SW was loaded, see attached
form. Microsoft Windows/Office, SPSS, ROXIO, and Symantec AntiVirus orders must be submitted with a
completed tracking form.

SLIC Software Distribution Record

Identify Software Purchase
Example: 30 copies of Norton (NAV)
Copy #1
Copy #2
Copy #3
Copy #4
Copy #5
Copy #6
Copy #7
Copy #8
Copy #9
Copy #10
Copy #11
Copy #12
Copy #13
Copy #14
Copy #15
Copy #16
Copy #17
Copy #18
Copy #19
Copy #20
Copy #21
Copy #22
Copy #23
Copy #24
Copy #25
Copy #26
Copy #27
Copy #28
Copy #29

Location of University PC
Ex: 5152 One Waterfront Place

OC Tag # or System Serial #

Ex: OC12345