Thank you for your interest in evaluating a complete version of DynamicPolicy. Please fill out the following questionnaire in order to understand the goals and objectives that you wish to accomplish during the evaluation period.

Once we receive the completed form we will provide you with an evaluation copy of DynamicPolicy for a free 15 day trail period.

Fields marked with an (*) are required to be filled out.

Company Name*
Contact Name*
Title*
Telephone* (Please include country code)
Email*
Website*
In what department(s) will DynamicPolicy be implemented?*
What type of policies or procedures do you have?*
How many user licenses do you require for the evaluation period?*
If your objectives are met during the evaluation period, when do you plan to acquire DynamicPolicy?*
Are you evaluating other products? If so, which ones?
Do you have a dedicated server available for the evaluation?	NO YES
How did you hear about us?
Additional comments
I acknowledge that I have read, understand and agree to be bound by the terms and conditions of Zequel Technologies' Non-disclosure Agreement.