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SITE LICENSE (MULTI-USER) REGISTRATION
 

Step 1 of 2 : Complete the form below

Your Information
First Name:    ***
 
Last Name:   ***
 
Email:   ***
 
School/Company Name:   ***
 
Position/Title:
 
Phone #:
 
Department:
 
Address:   ***
 
Address 2:
 
City:   ***
 
State:    ***
 
Zip:    ***
 

Your Course
Username:    ***
your username, students will have to create their own accounts
 
Password:    ***
 
Course Name:    ***
 
# of Licenses:    ***
 
Class Name:   ***
e.g. "D1A - Instructor John Smith"
 
Enrollment Key:   ***
15 char max. Provides students access e.g. "D1AJS2007"
 
Start Date (mm/dd/yy):   ***