Purchase Form

CONTACT DETAILS:

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Type of Role	-- Select One-- President Chief Executive Officer Chief Information Officer Chief Technology Officer Chief Financial Officer Chief Operations Officer Vice President - IT/Engineering Vice President - Business Development Vice President - Marketing/Sales Director - IT/Engineering Director - Business Development Director - Marketing/Sales Manager - IT/Engineering Manager - Business Development Manager - Marketing/Sales Architect Developer Engineer Technical Consultant Business Consultant Press/Analyst Professor/Instructor Salesperson Student Other
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PRODUCT ORDERING information:

Product 1*

Product Name	BEA WebLogic Platform BEA WebLogic Server BEA WebLogic Workshop BEA WebLogic Integration BEA WebLogic Portal BEA WebLogic Enterprise Security BEA WebLogic JRockit BEA Liquid Data for WebLogic BEA Tuxedo BEA Jolt BEA Mainframe Integration BEA MessageQ BEA WebLogic Adapters BEA WebLogic Express Compoze Portlets, BEA WebLogic Edition JBuilder, BEA WebLogic Edition Kapow RoboSuite, BEA WebLogic Edition Other
Quantity
Version Number
Operating System

Product 2

Product Name	BEA WebLogic Platform BEA WebLogic Server BEA WebLogic Workshop BEA WebLogic Integration BEA WebLogic Portal BEA WebLogic Enterprise Security BEA WebLogic JRockit BEA Liquid Data for WebLogic BEA Tuxedo BEA Jolt BEA Mainframe Integration BEA MessageQ BEA WebLogic Adapters BEA WebLogic Express Compoze Portlets, BEA WebLogic Edition JBuilder, BEA WebLogic Edition Kapow RoboSuite, BEA WebLogic Edition Other
Quantity
Version Number
Operating System

Product 3

Product Name	BEA WebLogic Platform BEA WebLogic Server BEA WebLogic Workshop BEA WebLogic Integration BEA WebLogic Portal BEA WebLogic Enterprise Security BEA WebLogic JRockit BEA Liquid Data for WebLogic BEA Tuxedo BEA Jolt BEA Mainframe Integration BEA MessageQ BEA WebLogic Adapters BEA WebLogic Express Compoze Portlets, BEA WebLogic Edition JBuilder, BEA WebLogic Edition Kapow RoboSuite, BEA WebLogic Edition Other
Quantity
Version Number
Operating System
Special Comments

END USER Selection:

I'm ordering on behalf of my Company
	My company is an Independent Software Vendor (ISV)
	I would like information on how my company could partner more effectively with Locus Software
I'm ordering on behalf of my Client
	My client is the Canadian Government, Ontario Public Sector or another Canadian Government Agency.

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