Academic Information - Faculty

Please print this form, complete the appropriate section(s), sign and fax the form to 650-240-2230. Also, fax a copy of your academic ID (please use photo setting to copy and fax so it will be legible). You may also scan and email the required documents to sales@lumina.com.

One signed form and ID is required for each Educational license and/or any number of Classroom licenses ordered.

Name

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Academic Institution

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Academic / Faculty ID #

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I am purchasing an Educational license

Please sign for Education license, Classroom license or both:

I affirm that I am a professor or instructor teaching at accredited degree-awarding college or university. I agree that the Educational license I purchase for Analytica or ADE will be used only for academic teaching and research, and will not be used for paid consulting, commercial, professional or government purposes.

If I use Analytica for a project that I make public, for example with a project description on the web, in a conference proceedings, or other publication, the publication will acknowledge the use of Analytica and I will notify Lumina when it is published. I agree that Lumina may include on its web site a link or reference to the publication, and a project summary, acknowledging the author(s).

If I use Analytica in teaching a course, I will notify Lumina, and provide the course name, professor(s), institution, and brief course description or curriculum. I agree that Lumina may include this information on its web site.

My Signature

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I am requesting a Classroom license

I affirm that I am a professor or instructor teaching a class at an accredited degree-awarding college or university. These licenses will be used for the class by (possibly) myself and students in the class with valid student IDs who are pursuing a degree at the above named Academic Institution or used by these students in a computer lab. They will be used for educational student use only.

My Signature

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