Boston University

Information Services & Technology
111 Cummington Street
Boston, MA 02215-2411
(617)353-2780 FAX: (617)353-6260
 Boston University
MATHEMATICA
Loan
Agreement

First Name
 Last Name
Address
City State Zip Phone
( )
BU ID E-mail address
College/Department Check one:
Research Faculty Staff Grad*

I have read, understand, and agree to abide by the terms and conditions of the following:
The Wolfram Research, Inc. Software License Agreement with Boston University as described in http://www.bu.edu/systems-support/software/mathematica/terms.html ;
The Boston University Conditions of Use and Policy on Computing Ethics ;
The Mathematica License Agreement.

_____________________________________________________

Signature                                                                                   Date          

Sponsor's Name*

College/Department Title Phone ( )
BUID BU Login Name
Signature
Date

For Information Services & Technology Use Only
Accepted By BU ID checked
Date Given Date Due
Copy Number Check one: PC Mac Linux

*Required for graduate student loan. Graduate student must be employed by BU and installing software on a University owned machine.