So we may service you and your program, please take a moment to tell us more about yourself and how you heard about Augusoft Lumens. In addition, please take advantage of a one hour personal tour of Augusoft Lumens. The following information about your organization will help us determine the products and/or services which best fit your program's objectives.

Augusoft does not sell user or subscriber information to third-party companies. For further information, please read our privacy statement.

Program + Contact Information
All fields are required unless specified (*).

First Name*:

Last Name*:

Job Title:

Address*:

Institution Name*:

City*:

State/Province*:
-- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming-- Canadian Provinces --AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
ZIP/Postal Code*:

Country*

Phone Number*:

E-mail*:


Industry*
-- Select One -- University Community College Private College/University ISD/Public School Career/Technical School Career College City/Government Independent Learning Center Museum Association Other (Hospital, Seminary, Business)

I am interested in setting up a guided tour of Augusoft Lumens.

Additional Information

Do you currently accept online registrations?
Yes No

If yes, what are you currently using to register non-traditional students?

If your program operates under a parent institution what online registration/course management system is used?
-- Select One -- Banner Datatel Peoplesoft Other

Annual number of students your lifelong learning program services:
-- Select One -- Under 1,000 1,000-4,999 5,000-9,999 10,000-24,999 25,000-49,999 50,000-100,000 100,000 +

Program Areas (use CTRL to select all that apply) Contract/Customized Training Continuing Education Summer Kids Camp Professional Development Adult Education/Personal Education ESL/Citizenship Mature Citizens After School Care Seminar/Conference Management Event/Facilities Management Health Care General Education Diploma (GED) Distance Learning/Online Classes

How did you hear about us?
-- Select One -- Advertisement Article/Trade Publication Association/Strategic Partnership (Which one?) Augusoft Customer Referral Augusoft Website Cold Call Received Conference (Which one?) Direct Mail Email/Eblast Newsletter Referred by a Fellow Colleague Special Offer Webinar/Seminar
If Association or Conference please specify:


Questions/Comments:


Please have a product specialist contact me.