Last Name :

First Name:

Address:

Address:

City:  State: Zip:

E-Mail Address:

School Name:

School Web Address:

Your Position:

Your Work Phone Number

STUDENT SPECIAL
     -one free full version program of your choice for your students per course in addition to all 26 full version programs for the educator, free of charge.

EDUCATORS FREE SOFTWARE REQUEST
      -26 full version programs for the educator free of charge.

If you are requesting the STUDENT SPECIAL, please fill in the following fields:

1. Course Name:

    Course Number:

    Course Description:

     Archon Program Requested:

     Estimated Class Enrollment:

2.  Course Name:

     Course Number:

     Course Description:

     Archon Program Requested:

     Estimated Class Enrollment:

3.  Course Name:

     Course Number:

     Course Description:

     Archon Program Requested:

     Estimated Class Enrollment:

Comments:

By submitting this request you are attesting that you are employed as an instructor at the school
listed above and that you have authority to request this donation of Archon's free full version engineering
software. You also agree to use this software only for instructional purposes and will not distribute the
full version software to any other unapproved individual or organization.  Use of this software for any purpose other than for educational instruction without written permission from Archon Engineering is in violation of the educators agreement. You also agree to allow Archon Engineering to verify the submitted information.