PHILANTHROPY ACCOUNT DISCOUNT APPLICATION & RELEASE
(if you are an educational or not-for-profit organization and desire a Product discount, please submit this form)
Name: __________________________________
Title: __________________________________
Organization: ______________________________________
Website: __________________________________
DATE: ___________________________
Philanthropic Cause: ___ Education / ___ Not-for-profit / ___ Other (explain ___________________________________)
I _________________________, am involved with the Organization named above and wish to use Accusoft Product
exclusively for one or more projects that will bring benefit to that Organization and/or its mission.
Project description / Accusoft Product:
Subject to my review and consent, with consent not to be unreasonably withheld, I also hereby grant permission to
Accusoft Corporation, of 4001 N. Riverside Drive, Tampa, Florida to tell the public of and about my project and the use
of Accusoft Code for these project(s) using blogs, white papers, tweets, and Facebook and other social media promotions
or exhibitions, in each case without Accucoft asserting any endorsement by or from the Organization.
I have read the foregoing and fully understand the meaning and effect thereof, and I request a Philanthropic Discount
from Accusoft and I grant permission to Accusoft for the public release of my user story per the terms above.
SIGNATURE: ___________________________________
DATED: _______________________________________
email: ____________________________________