Software Evaluation Request Form

Company Name*
Address 1*
Address 2
City*
State*
Zip*
Telephone Number*
Email Address*
Operating System & Version*
Jukebox Model or Stand-alone*
Product?*	OSS USS
Question or Comments

*Required Field

Upon receipt of the completed request, an evaluation agreement will be emailed to the address provided above. This agreement should be completed and returned to US Design (sales@usdesign.com). Instructions for downloading the evaluation software via ftp will be provided.