DocuWare Source Code Protection Plan
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Please fill-in all blanks before submitting!

Upon our receipt of this form, you will receive your draft escrow agreement and exhibits by e-mail.
You may then review, print, sign and return the escrow agreement and your Deposit Materials
to Guard-IT Corporation for completion of your Source Code Protection Plan.

1. Is this Plan for multiple Licensees? (What's the difference?)
2. If so, approximately how many?

3. U.S. or Canadian (international) jurisdiction and deposit?
4. What is your desired effective date for this Plan?
5. What is your DocuWare enrollment or license number?

6. Your Contact Information:

Depositor/Developer Company
Contact Person
Address
City State ZIP Country
Phone Fax
E-Mail

7. Your Initial Beneficiary (Licensee) Information:

Beneficiary/Licensee Company
Contact Person
Address
City State ZIP Country
Phone Fax
E-Mail

8. Description of Your Product to be Deposited:

Product Name Version
Deposit Format (CD, Diskette, Tape, etc.)
Estimated Quantity
Label/Description/ID

9. Comments or Special Instructions to Guard-IT:

Person Submitting this Form:
Phone:
E-Mail Address * (Required for Return Receipt):

IMPORTANT NOTE: Submission of this electronic form to Guard-IT Corporation represents Depositor's expressed
request for drafting of an Escrow Agreement and Exhitibts by Guard-IT Corporation. Upon receipt of this electronic
form, Guard-IT will draft the agreement and return it to Depositor as an MS Word e-mail attachment for the Depositor's
review and completion. Guard-IT shall have no obligation to any Party named in this submission until final Escrow
Agreement is fully executed and signed by Guard-IT. Guard-IT is not responsible for any errors, including
typographical or data entry errors, which may be submitted via this form.

Copyright 1999-2008 Guard-IT Corporation. All rights reserved.
DocuWare and DocuWare logo are trademarks of DocuWare Corporation.