LZW Licensing Questionnaire General information regarding licensing is available on our Website at http://www.unisys.com/unisys/lzw. In order to send you the proper license agreement, please provide us with the following information: 1) What form of LZW you will be using, (i.e., GIF, TIFF, PostScript-2, PDF or a proprietary form of LZW type)? 2) On what type of computer will the application be running? E.g., a PC, MAC, workstation, server or web server. 3) Describe the primary overall functions of the application(s) you are developing. 4) Will the software be a toolkit or other type of software intended for development purposes? 5) If you require a Unisys license in order to obtain unlocking of GIF or any other LZW capability in software you obtained from a software vendor (or other third party), please identify this vendor (or third party) and the particular software which needs to be unlocked (include software serial number). 6) Is the application(s) for your company or your client company's internal use? If so, please answer the following questions: How many computers will run the application? How many additional computers will have access to the application via a LAN or other network connection? Describe the company's business and how the application is used in that business. If the product is being developed for a specific client company, please identify the client company. 7) Is the application(s) related to the Internet? If so, please describe how the application is used, e.g., is it used for implementing an Intranet, or for electronic commerce, or for providing a subscription or free service, or as a billboard for advertising your company's products/information or another company's products/services. Will any paid advertisements appear on the site? Will anything be sold on the site? 8) Will the software be sold to end users such as OEMs, VAR's or consumers? If so, please answer the following questions: What types of customers will receive the software? Is it to be sold or distributed to others as part of a software application? If so, describe the application. Please list all countries of distribution, and method of distribution, e.g., via the Internet or on a disk. Please also provide at least a general indication of your pricing and yearly volume. 9) Will the application be bundled with any hardware or other software? If so, please describe this bundled hardware and/or software. 10) Please provide the name, address, phone and fax numbers, and web site address for your company. Company Name: Primary Contact: Address: Phone: Fax: Web URL: Contact e-mail address: 11) Is your organization a governmental entity (e.g. federal, state or city government or agency thereof) or an educational institution (e.g., state or private university)? 12) Is your company a division or subsidiary of another company? If so, please identify the parent company. PLEASE DO NOT SEND US ANY INFORMATION WHICH IS CONFIDENTIAL OR PROPRIETARY TO YOUR COMPANY.