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Licensee Name:	*
Customer #
Product Information
Select product(s):	Phoenix Preference
Designated CPU information for Phoenix
Make
Type
Model
Serial
Designated CPU information for Preference
	CPU same as for Phoenix
Make
Type
Model
Serial
Ship-to and Media Information
Media Type	3490 Cartridge Download from FTP Site
Environment	MVS VM
Ship-to Location	Licensee Third Party
Ship-to Contact:	*
Street Address:	*
Additional Address:
City/Town:	*
State/Province:	*
Zip/Postal Code:	*
Country:	*
Phone:	*
Business Email:	*
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