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FACSGen License Request

At the end of the application questionnaire, you will be asked to upload via a secured file browser dialog box, the Software license agreement with your signature.

Please make sure you print and scan this document before starting the questionnaire.

General information
(This question is mandatory)
First Name
(This question is mandatory)
Last name
(This question is mandatory)
email
Affiliation
(This question is mandatory)
Institution
Department
Supervisor
(This question is mandatory)
Supervisor's first name
(This question is mandatory)
Supervisor's last name
(This question is mandatory)
Supervisor's email
Payment Address
(This question is mandatory)
Street & number

(This question is mandatory)
Zip code
(This question is mandatory)
City
(This question is mandatory)
Country
Registration
(This question is mandatory)
I would like to use FACSGEN and request a licence for CHF 500.-
(This question is mandatory)

Site Code

Your site code is unique; it identifies the machine on which you will use FACSGen.

In FACSGen, please go to the "Help" menu, and click on "Activate License". From there, please copy the site code and paste it below.

Please upload the license document with signature
 Upload file
 
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