Individual Educational Purchase Application

Please complete the following form and provide the necessary qualifying documentation as specified below in order to purchase NewTek Educational Products. Applicant acknowledges that NewTek has sole and exclusive discretion to determine their eligibility for participation in the Educational Software License program. NewTek reserves the right to terminate this single user educational license immediately without notice, if it is determined that the purchasing individual does not qualify according to the terms stated below or fails to comply with any provision of the included software license.

I. Applicant Information

Provide all information requested in a legible manner, all entries are mandatory and must be completed to qualify.

Name	______________________________________
Address	______________________________________
City	___________________________	State/Province	__________	Zip/Postal	__________
Country	___________________________
Phone(daytime)	___________________________
Email	___________________________
Qualifying Institution:	______________________________________
Verification Contact:	______________________________________
Verification Phone (daytime):	______________________________________

II. Qualification
Indicate your qualification for purchasing NewTek Educational Products below and attach required documentation as required. See the Qualification & Required Documentation attachment for more details.

______	Higher Education Student	______	K-12 Multimedia Student
______	Education & Government Faculty/Staff/Employee	______	NewTek ATC Student

III. Additional License Acknowledgments
The following information is provided to applicants purchasing a NewTek Educational Product for their personal, non-commercial use, the applicant acknowledges the terms of sale as stated below by signing this document and submitting the necessary documentation as specified above.

Single User Educational License: As stated in the Educational Software License Addendum, the license holder of a NewTek Educational Product allows you to use one copy of the Software on a single computer at a time for educational purposes only and does not allow commercial use of this software license. To “use” the Software means that the Software is either loaded in the temporary memory (i.e., RAM) of a computer, or installed on the permanent memory of a computer (i.e., hard disk, CD ROM, etc.). You may make one copy of the Software in machine readable form solely for backup purposes. The Software is protected by copyright law. As an express condition of this License, you must reproduce on the backup copy the NewTek copyright notice in the following format “© 1998 NewTek” You may not transfer your rights under this License to another party until the Educational Software License has been upgraded by NewTek to a full Commercial Software License. At that time and anytime thereafter you may permanently transfer all your rights under this License to another party by providing such party all copies of the Software licensed under the Commercial License together with a copy of the Commercial License granted by NewTek and all written materials accompanying the Software, provided that the other party reads and agrees to accept the terms and conditions of the provided Commercial License. Technical Support: Standard commercial technical support is not available from NewTek for students, faculty, staff, and government employees purchasing an Educational Product for personal, non-commercial use. Basic installation and registration support can be obtained from NewTek Customer Service at the phone number indicated on your registration card. Technical support should be obtained from the institution or organization through which your educational purchase was qualified, when available. NewTek offers other programs for technical support with established fees and programs. These fee-based programs are available to students, faculty, and staff of educational facilities if needed. Please contact NewTek Inside Sales at 800-847-6111 or email sales@newtek.com for more information and current offerings. Educational Product Upgrades: NewTek Educational Products may be upgraded to newly released versions and/or current versions as soon as they are made available through the NewTek Educational Product program. To verify availability and pricing please check with NewTek Inside Sales at 800-847-6111 or email at sales@newtek.com. To purchase an Educational Product Upgrade you must re-verify your eligibility by submitting the Individual Educational Purchase Form with current qualifying documentation along with your order. An Educational Product Upgrade should only be purchased to upgrade an existing, registered NewTek Educational Product by the original license holder only. Any attempt to upgrade a Commercial Software License will result in the immediate termination of any and all NewTek Software Licenses. Commercial Upgrade Program: NewTek also offers a commercial upgrade program for Single User Educational license holders that were not purchased directly by an educational or government institution (i.e students, faculty, and staff). This program allows an Educational Product user to upgrade their license from “limited, educational use only” to an “unlimited, Commercial Software License”. This is intended to accommodate those students, faculty, and staff who would like to move from educational use of our products into commercial production for profit, without re-purchasing our product. The program can also update your product to the most current version, as well as provide the commercial license necessary to begin production for profit. Please contact NewTek Inside Sales at 800-847-6111 or email sales@newtek.com for more information and current program pricing.

IV. Agreement of Terms
I agree to the terms stated above and meet the requirements of the category indicated in Section II, and have attached the specified documentation as listed.

Signature:	____________________________________
Date:	____________________________________

NewTek Use Only

Documentation Complete:	_____________	Date:	_____________
Qualification Verified:	_____________	By:	_____________
Product Registered:	_____________	Date:	_____________

NewTek Individual Educational Purchase Application Qualification & Required Documentation

Higher Education Student
	Full-time registered students pursuing a degree at a post-secondary educational institution in the United States or Canada are eligible to purchase a maximum of one copy each of NewTek’s Educational Products for their own personal, non-commercial use. The student must be enrolled in a minimum of six(6) credit hours and a minimum of a two year degree granting program or be enrolled in a minimum 9-month certificate granting vocational or career program. *Required Documentation:* Legible photocopy of current student identification card (both front and back, if applicable) with issue and/or expiration date circled *AND* a copy of a current class registration indicating enrollment in a minimum of six (6) credit hours or a registration receipt OR an original letter on official letterhead confirming enrollment in a minimum 9-month certificate granting program signed and dated by an administration official, including a verification contact phone number.
K-12 Multimedia Student
	Full-time registered students enrolled in a computer multimedia course or program at a primary or secondary school in the United States or Canada are eligible to purchase a maximum of one copy each of NewTek’s Educational Products for their own personal, non-commercial use. The student must be enrolled in a computer multimedia (i.e. graphics, computer animation, CAD, graphics design, desktop video, desktop publishing, web design, computer science, or related course) course or program and be attending full-time towards the completion of a graduation certificate. *Required Documentation:* Legible photocopy of current student identification card (both front and back, if applicable) with issue and/or expiration date circled *AND* a copy of a current class registration indicating enrollment in a qualifying computer multimedia course OR an original letter on official letterhead stating your student enrollment and class qualifications signed and dated by an administration official, including a verification contact phone number.
NewTek ATC (Authorized Training Center) Student
	Full-time students enrolled in a qualifying program at a NewTek Authorized Training Center program are eligible to purchase a maximum of one copy each of NewTek’s Educational Product for which they are currently being trained, on the platform of their choice. The student must be enrolled in a NewTek-approved full-time course with NewTek Certification. The full-time course must be instructed by a NewTek Certified Instructor and at a minimum provide a comprehensive overview, in-depth instruction, and sufficient lab time to excel at a product knowledge and proficiency evaluation. *Required Documentation:* Legible photocopy of a dated receipt for a current, qualifying training program at a NewTek Authorized Training Center, indicating paid in full *AND* an original letter on official letterhead stating you are currently enrolled in a full time program which meets the criteria (as outlined above) for NewTek’s Educational Product program, including the dates of enrollment, program title, total number of hours enrolled, and total payment received. This letter must be signed and dated by the primary NewTek ATC contact person, including a verification contact phone number.
Education & Government Faculty/Staff/Employee
	Full-time and part-time faculty, staff, and employees of qualifying educational institutions or government organizations are eligible to purchase a maximum of one copy each of NewTek’s Educational Products for their own personal, non-commercial use. The individual must currently be employed full-time or part-time at a qualifying educational institution, authorized training center, or government organization (please consult your internal purchasing department to verify their ability to purchase NewTek Educational Products, which determines your qualification). *Required Documentation:* Legible photocopy of current employee identification card (both front and back, if applicable) with issue and/or expiration date circled *AND* an original letter on official letterhead stating your position, time of employment, and your direct supervisor signed and dated by a human resources or management representative, including a verification contact phone number.