Academic Information - Student

Please print this form, complete, sign and fax the form to 650-240-2230. Also, fax a copy of your student 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 form and ID is required for each Educational license ordered.

Name

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Academic Institution

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Student 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 student pursuing a degree at an accredited degree-awarding college or university. I agree that the Educational license I purchase for Analytica or ADE will be used only for academic studies 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).

My Signature

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