Certification Request

Select

Customer
Reseller
Other

License Version*

Company*

Company ID

CGTech Account Representative*

Contact Person*

FirstLast

Title

Email*

Address*

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Phone*

Fax

Indicate Host ID of License Server:

Host ID*

What is a Host ID?

Host Name*

What is a Host Name?

Platform*

Select the platforms VERICUT will be used on, if different from the license server:

Please specify which modules you are requesting:

Notes or Special Instructions:

Agreement

I agree that by the end of the certification period I will either:

Return the certification copy of VERICUT or other CGTech software and all associated documentation to CGTech, and remove all certification copies of VERICUT or other CGTech software from all computers; or,

Proceed with the purchase of VERICUT or other CGTech software at the current retail price.

Full Name*

Accept Agreement*

If you agree to the above conditions, type "I understand and agree". The license transfer request will not be processed unless completed.