Turf Commercial License Request

Individuals or organizations who would like to obtain an extended or commercial license to the software may complete this form which will be forwarded to the Office of Technology Management at The University of Texas Health Science Center at Houston. If you require continuous use of the software, please complete this form early in your trial period to avoid interruption in your access to the software.

Requestor Information
(*)denotes required information.

Licensee/Company Name:

Licensee/Company Address:

Designated Contact Information

Full Name:
Address:
Phone:
Fax:
Email:

Licensing Information

Type of Use:

Internal Testing
Service
Redistribution/Sale
Other

If Other or for Internal Testing, Please Explain. If for Internal Testing, what is the name of the software to be used?

Number of Seats Needed (for small number of users);or site license (for larger entities)

License Signatory:

Name:

Title:

NCCD

Turf Commercial License Request