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 .(JavaScript must be enabled to view this email address). 

One form and ID is required for each Educational license ordered. 

Name

_______________________________

Academic Institution

_______________________________

Student ID

_______________________________

I am purchasing an Educational license

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

_______________________________