Web Service License Request Form

Please complete the following form. A confirmation email will be sent to the technical contact together with your license key and instructions how to use our web service.

Organization:

Primary Application:

Other Primary Application:

Number of Instructors:

Number of Students:

Non-Profit:

Yes

No

Authorized Agent Contact

First Name:

Last Name:

Job Title:

Address:

City:

State:

Country:

Phone:

Email:

Technical Contact

Use Agent Information for Technical Contact

First Name:

Last Name:

Job Title:

Address:

City:

State:

Country:

Phone:

Email:

MERLOT Web Services and Related Software - License Key Release Terms

The undersigned agrees to the terms and conditions defined in the:

The undersigned agrees that 1) the terms of these agreements apply to all users of their Organization, Institution or Campus field shown on this webpage, and 2) the assigned key shall only be used on the Organization, Institution or Campus servers identified on this application form.

I agree to the above listed MERLOT Use Agreements.