APPENDIX B
 Text version suitable for e-mailing
Registered Client Information Profile (1999-2000)

(Must be returned to OhioLINK for End User to participate in OhioLINK/ESRI Statewide Site License)
 

End User Institution Name:    ______________________________

Primary Institutional Contact:

Name:   _________________________________________

Mailing Address:  __________________________________________________________________

                                  __________________________________________________________________

Telephone:           _________________________________

Fax No.:                _________________________________

E-Mail:                 _________________________________
 

Bill to:

Name: _________________________________________________________________________

Address  _______________________________________________________________________

               ________________________________________________________________________
 

(The remainder of this form is used only by consortium members or 10,000+ FTE instutions)

Ship Software to:

Name:  ________________________________________

Address  ______________________________________________________________________________

                 ______________________________________________________________________________

(1): GIS Specialist

Name:   _________________________________________

Mailing Address:  __________________________________________________________________

                                  __________________________________________________________________

Telephone:           _________________________________

Fax No.:                _________________________________

E-Mail:                 _________________________________
 

(2): GIS Specialist

Name:   _________________________________________

Mailing Address:  __________________________________________________________________

                                   __________________________________________________________________

Telephone:           _________________________________

Fax No.:                _________________________________

E-Mail:                 _________________________________