Concise Beam V4 Educational License Application

This application is for use by educational institution faculty only. Students must obtain a license key through their faculty. The applicant must be a full-time faculty member with an email address provided by the institution. Note that due to the large number of false applications I receive, I may not reply to any applications that I believe are not eligible. I am also not able to provide technical or educational support to students using Concise Beam V4 under an educational or evaluation license. Students should obtain support from their faculty teachers or supervisors.

Contact Name	*
Position	*
Department	*
Institution	*
Address	*
City	*
State/Province	*
ZIP/Postal Code	*
Country	Canada United States of America Afghanistan Albania Algeria Andorra Angola Antigua & Deps Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia Herzegovina Botswana Brazil Brunei Bulgaria Burkina Burundi Cambodia Cameroon Canada Cape Verde Central African Rep Chad Chile China Colombia Comoros Congo Congo, Democratic Rep Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda St Kitts & Nevis St Lucia Saint Vincent & the Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe *
Telephone	*
E-Mail Address	*
* Required fields. The e-mail address must be associated with the institution listed above (i.e. commercial and generic accounts, such Hotmail and GMail, are not acceptable). Your e-mail address will be used to receive your license and any future announcements. Please inform me in the future of any changes to this address.

Any Additional Comments

Selecting "E-Mail License Application" below will e-mail this application form to Black Mint Software. Black Mint will respond to your application by e-mail to the address you provide above. If approved, you will receive your license key with this e-mail including instructions on how to install the key. This application is intended for faculty only, so that they may control their students' access to the program to suit their course studies. The key can be used to install Concise Beam on any machine within the institution used by the faculty or students. License keys are not to be provided directly to the students.

Use of Concise Beam with the educational license is subject to the conditions of the Concise Beam end-user license agreement.

The educational license is valid until the end of July each year at which time it will stop working. You will be able to obtain a new license at that time for the next academic year.