Certicom Academic Evaluation Request (1 Year)

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The intent of this evaluation is to provide college and university students, researchers and instructors with the ability to study, analyze and learn about Certicom's ECC technology.

Fill in and submit this request to evaluate Security Builder Crypto for a period of one year. Once the submitted form has been recieved, a Certicom representative will contact you within 5 business days to review your evaluation application request.

Please note: You must include your student/faculty ID#, a valid educational email address and and valid mailing address (hotmail and other "free" email accounts will be rejected as will PO boxes and mailstops).

Important Legal Information and Notice

Your use of Certicom technology is restricted solely to your evaluation and subject to the terms of the license agreement.

Certicom technology is cryptographic in nature and therefore the software and information provided to you are highly regulated by applicable laws, including U.S. and Canadian export laws. In order to properly comply with such laws, you must provide us with the following requested information. You may be contacted by Certicom to verify certain pieces of information.

You hereby warrant and represent that the information you provide is true and accurate and you agree that your use of the technology will not violate applicable laws and regulations of the applicable jurisdiction.

Please Note: Certicom will not sell, rent or lease your personally identifiable information to any third parties. For more information on how we use the data you provide us, please read our privacy statement. By completing this form you agree to BlackBerry processing your personal data for the purpose of contacting you about the software or service you have selected.

*Items in bold are required fields.

There are errors in the form below.

E-mail Address

Student/Faculty #

First Name

Last Name

Company

Job Title

Address 1

Address 2

City

State/Province

Country

Postal Code

Phone Number

Your Industry Vertical

Select Toolkit for Evaluation

Choose a Platform

Other

Proposed Use of Toolkit (max. 500 characters)

Are you willing to provide Certicom with a copy of your final results/paper? Yes No

Are you willing to reference Certicom in your work? Yes No

Would you be interested in submitting and abstract of your work for the opportunity to speak at Certicom's annual ECC Conference in Toronto, Canada? Yes No

Are you willing to provide sample or demo code? Yes No

Are you willing to allow Certicom to publish a link to, or directly publish your work on the Certicom Website? Yes No

Is your institution willing to recognize Certicom as a sponsor in any way? Link to website, acknowledge in publications, or the like? Yes No

If you have any questions, or would like to speak to someone about your security needs today, please contact us at +1-800-561-6100 or email sales@certicom.com.

Please Note: Certicom will not sell, rent or lease your personally identifiable information to any third parties. For more information on how we use the data you provide us, please read our privacy statement.

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