PACE Request for ANSYS, Inc.

(ANSYS CFD) Software Applications

Complete the information below and e-mail it to

______

Name of InstitutionDate

______

Name of Person Submitting RequestTitle of Person Submitting Request

Shipping Address:______

______

E-Mail Address:______Phone______Fax______

Other local coordinator that will be facilitating the use of the software (e.g., systems administrator or faculty):

______

NameTitle

E-Mail Address:______Phone______Fax______

With this form, the PACE Institution above is requesting ANSYS Academic software(ANSYS Academic Teaching CFD) for classroom support. The company intends to continue the offer into the future, pending favorable business conditions and continuation of its role as a PACE contributor.

These products may only be used for student instruction, student projects, and student demonstrations. No research, funded or otherwise, can be performed with an academic teaching bundle. The sole exception is if a research project is awarded directly by General Motors to a PACE institution, and in this event the PACE project’s PI may contact the Vishal Ganore () to request ANSYS Academic Research software to accommodate this specific project.

The provided software may not be used for competitive analysis (such as benchmarking) or for any commercial activity, including consulting.

IS THIS AN INITIAL REQUEST OR A REQUEST FOR AN EXTENSION OF SOFTWARE?

_____Initial Request_____Request for Extension of Previously Approved Form

Check the appropriate request (use multiple forms for multiple requests):

_____I am requesting ANSYS Academic TeachingCFD software for classroom use:

Course Title and Course Number:______

Number of students in the class______

Date when the class begins______

MonthDayYear

Date when the class ends______

MonthDayYear

(If multiple classes will utilize the software, please summarize in an attachment to this form)

The software will be issued for a 12 month license period.

Number of serial processes requested (maximum 75 tasks total): ______

Use the following link for information on ow to obtain the data required to comple this section:

Hostname: ______

Disk serial number or MAC address ______

ID Type: ______

_____Request for Training

_____I requesttraining for the persons listed below, to be held in Ann Arbor, Michigan.

NameE-mail Address

______

______

______

______

_____I request training for the persons listed below, to be held in Lebanon, NewHampshire.

NameE-mail Address

______

______

______

______

Forward this Request for ANSYS, Inc. software to *************************************************************************

For Office Use Only:

 Approved Not Approved

Comment from ANSYS, Inc. Representative:

______

______

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Revised: November 21, 2016