Student Registration Form

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Please note that this offer is only valid in North America.

Yes, I am a Student enrolled in a school in North America. I want to register and request a FREE download of Accucadd, the Collegiate Version for my personal use.

I am providing the following contact information ( * indicates a required entry):

* My School is:
My Year of Graduation:
* My First Name:
My Middle Name:
* My Last name:
* My E-mail Address:
My Mailing Address is:
* Number and Street:
* City:
* State:
* Zip:	-

Please verify that I am a student by contacting my instructor. My Instructor is:

* Salutation:
First Name:
Middle Name:
* Last Name:
* My Instructor's email address is:

I agree:

I will install Accucadd - the Collegiate Version only on my personal computer for my personal use.

I will not resell or re-distribute copy of Accucadd, the Collegiate Version. However, I can recommend your offer to my friends, so they can ask for their own Accucadd, the Collegiate Version.

By checking the following check box I agree that:

I want to receive further information about Accucadd and other offers as they become available.