FLIP ROSE ver.7 Series Academic Discount Version Purchase Application Form
1 Fill in form
2 Confirm
3 Finish
Please read carefully “End User License Agreement”, “General Terms and Conditions” and “Support Service Agreement” before applying for purchase.
【Note on purchase application for Academic Discount Version】
(1) Academic Discount Version can be used only for non-commercial research or education for non-profit purposes. (Use for commercial purposes is not allowed.)
(2) A copy of valid faculty ID or any verification of the applicant’s academic status should be submitted according to the request from the FLIP Consortium.
(3) If you apply for purchase as educational or public research institution (not as individual customer), the applicant shall be a permanent staff of your entity or organization.
(4) Please select “Language of Program” and “Language for Q&A Service” from either English or Japanese. Change of the language is NOT allowed after purchase.
(5) You can select either English or Japanese in which you can correspond with Customer Service or receive information (Language for correspondence with Customer Service). You can change the language after purchase.
Number of Licenses
required
Language of Program
required
English
Japanese
Language for Q&A Service
required
English
Japanese
Language for correspondence with Customer Service
required
English
Japanese
Type of applicant
(Institution / Organization / Individual)
required
University/College
Middle/High School
Public Research Institution
Individual (belonging to educational or public institution)
Other educational/research institution
*The invoice will be addressed to an institution or organization if the applicant is an institution or organization.
Name of institution/organization
required
*Enter the name of institution or organization you belong to if you purchase product as an individual
Zip Code
required
Address
required
Country
required
(Applicant) Name
required
Family name
First name
(Applicant) Title
required
Mr.
Ms.
Prof.
Dr.
(Applicant) E-mail Address
required
Confirm
(Applicant) Department
(Applicant) Position
required
(Applicant) Telephone Number
required
Contact Person
required
*Register a person who receives information or notification from FLIP Consortium as Contact Person.
Same as Applicant
Different from Applicant
(Contact Person) Name
required
Family name
First name
Mr.
Ms.
Prof.
Dr.
Department/Division
E-mail
TEL
Q&A Person
required
*Register a person who uses the Answer Service on use of FLIP programs as Q&A Person.
Same as Applicant
Same as Contact Person
Different from Applicant or Contact Person
(Q&A Person) Name
required
Family name
First name
Mr.
Ms.
Prof.
Dr.
Department/Division
E-mail
TEL
Required documents (Multiple choice allowed)
Invoice
Quotation
(*Delivery statement will be included in the package of product.)
Remarks
Read before you submit
required
I agree to "End User License Agreement”, “Support Service Agreement” and “General Terms and Conditions”of FLIP ROSE ver.7 Series Academic Discount Version.
confirm
