Software Demo Request Form

ExRx.net > Store > Software > Demo Request Form

Thank you for your interest in reviewing our software demo(s). Please fill out this form completely. Omissions or errors may delay your request. Your request will be reviewed within one business day. If you are having problems submitting this form, please notify us at orders@exrx.net.

First name
Last name
Company
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
E-mail

Facility / Business:

Fitness Club / Gym University / College School Studio Massage Therapist

Armed Forces Geriatrics Corporate Wellness Sports Team Hospital / Medical Center

Clinic Law Enforcement Fire Department Community Other

Profession(s):

Athletic Trainer (ATC) Group Exercise Instructor Physical Therapist Chiropractic (DC) Massage Therapist College Instructor Medical Doctor (MD) Director

Registered Nurse Dance Instructor Wellness Specialist Nutritionist Occupational Therapist Sports Coach Exercise Physiologist Business Owner

Personal Trainer Strength Coach Fitness Director Physical Education Instructor Student (Exercise Major) Fitness Instructor Physical Therapist Other

Demo(s) requested:

PC Kits: Desktop Edition

Fitness Analyst

Check In

Retention Manager

Version:

No computer network	Networked (multiple computers)
Single copy, single computer Multiple copies, seperate computers	Local Area Network (LAN) Wide Area Network (WAN)