LACES Free Trial Survey
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1
. First name*
First name*
*
2
. Last Name*
Last Name*
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3
. Email address*
Email address*
*
4
. Phone number*
Phone number*
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5
. Name of Organization*
Name of Organization*
6
. City, State, Province and/or Country
City, State, Province and/or Country
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7
. Approximate Number of Students Served in a Fiscal Year
Approximate Number of Students Served in a Fiscal Year
Less than 50
50 to 100
101 to 150
151 to 200
201 to 300
301 to 400
401 to 500
501 to 600
Over 600
If over 600, please specify
8
. How did you hear about us?
How did you hear about us?
From a colleague that uses your software
At a conference
Email offer
Internet search (Google, Yahoo, Bing, etc.)
*
9
. In order to help protect our service, we ask that you agree to the following terms prior to beginning your trial subscription:*
Select all responses to continue:
In order to help protect our service, we ask that you agree to the following terms prior to beginning your trial subscription:* Select all responses to continue:
I am an authorized representative of the agency listed above and all above information is accurate.
Only personnel associated with the agency listed above may use or access the service during the trial.
Agency personnel will use the service for its intended purpose only and for the sole benefit of the agency.
No one within my agency will reverse engineer or otherwise tamper with the service.
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