Student Registration Form

All fields except those indicated with an * must be completed.

Your details
Title (Mr, Miss, Dr etc)		First Name
Surname		Email Address
Address
Town/City		County/State
Postal/Zip code
Telephone *		Mobile
About Your Place of Study
Name of Business School/University
Address
City		County/State
Postal/Zip code		Telephone
Subject you are studying
Your Declarations
	The software will not be copied
	The software will not be handed over to anyone else
	The software will not be used for commercial purposes
	The license holder will send Dyalog a short report each year explaining his/her usage of the software including experiences good and bad