University License Application

Fill out the form to request a university license

Fields with * are required

Your name *

Your email *

Your Course Subject *

Course End Date

Education Status *

University/Tafe/Educational Facility Name *

Country *

Does your institution have Deepfreeze, or freezing/thawing state on your computers?

What is your Licensing Management System?

Proposed Implementation Date

Number of licenses/Seats requested

License Email Address

Your message (optional)

Select an image or pdf file containing your proof of university attendance *

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