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Software Registration Form


Thank you for your purchase of software from Pearson Assessments. Please complete and submit this form. Registering your copy of this software entitles you to:

  • Free technical support: Call Technical Support at (800) 627-7271. The information you provide on this form will help a technical support specialist resolve any questions or problems you may have.
  • Free technical upgrades: From time to time, it may be necessary to send free program upgrades that resolve technical problems. Registration ensures that the new disks reach you and are not sent to a warehouse or an accounting office (which may be the address of record for your order).
  • Notification of software feature upgrades: Pearson Assessments sometimes makes substantial revisions to software products in an effort to better meet your needs. Registered users will receive notice of upgrades.

Required fields are marked with an asterisk *

Prefix: Dr.   Mr.   Mrs.   Ms.
*First Name:
*Last Name:
*Email:
Role: Technology Administrator
(Professional who manages technology)
Software End User
(Professional who does test scoring and reporting)
Both
Which of the following job titles best describes your position?

If Other (Specify):
*School/Organization:
*School/Organization
Address:
School District:
*City:
County of: (US only)
State (US only)
Country
*Zip/Postal Code:
Phone:
Ext.
Fax:

Describe the software you are registering:
Name of Product:
Version: (if known)
# of Copies Purchased:
Approximate Purchase Date: (i.e. MM/YYYY)

Describe the computer that the software is installed on. If you own a network-based edition, please describe the primary computer.
Platform: Other (please specify):
Operating System:

Other (please specify):

Network?Yes No Not sure
Additional information:
Note: You will receive an e-mail after submitting this form to confirm your software registration information and to print for your records.


 

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