Ambiencia Information Systems, Inc

Ambiencia Services

More Information


	For more information about the products, please contact us at tech_support@ambiencia.com

OS & COMPILER UPGRADE REQUEST FORM

Thank you for choosing our products as part of your solutions.
Please note that to be eligible for Galaxy Operating System and Compiler upgrades, the maintenance and support contracts must be valid for all Galaxy licenses in your institution. Direct all inquiries to sales@ambiencia.com, we are glad to respond to them quickly.

Fields marked with an "•" must be completed to process your purchase.



My Information

Your Name:
Company Name:
Developer number or Maintenance number of each license to be upgraded:

Galaxy Information

Release/Editions:	Galaxy 3.0 Local Galaxy 3.0 Global Galaxy 4.0 Initial Galaxy 4.0 Management Galaxy 4.0 Process Galaxy 4.0 Measurement Galaxy 4.0 Machine
Version:	C C++
Current Operating System and Operating System Version:
Upgrade to Operating System and Operating System Version (if applicable):
Current Compiler and Compiler Version:
Upgrade to Compiler and Compiler Version (if applicable):
Observations (Optional - examples: Compiled with X11R6; include +eh option, etc.):
Number of licenses:
License distribution in network or domain: (example: 2 licenses in same domain, 1 license in other domain :

Shipping Information

Shipping address (Line 1):
Shipping address (Line 2):
City:
Province/Region/State:
Postal/Zip Code:
Country:
Ship to the attention of:

Billing Information

Billing process:	I first need a quote I first need an invoice
Billing address:	Same as the shipping address Other than the shipping address, and is provided below
Billing address, if other than the shipping address (Line 1):
Billing address, if other than the shipping address (Line 2):
City :
Province/Region/State:
Postal/Zip Code:
Country:
E-mail to contact you:

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