REQUEST A DEMONSTRATION

Complete this form and click the SEND button to register by email.
Print this form and fax to (877) 204-7197 to register by fax.

Include your email address for receiving your Registration Confirmation.

First Name*

Last Name*

Email*

Title/Position*

School District Name *

City, State, Zip*

Telephone*

Ext

Best Time to Call

Type of Demo Requested

Solution to be presented in the demonstration

IEP 504 ELL
Gifted Medicaid SST
RTI Title 1 Hospital/Homebound

How did you learn about SEMS Software

Total number of K-12 students

Total number of IEP students

Questions / Comments?

Phone: Toll Free at (877) 204-7197 Option 2
Email: sales@eutactics.com
Call us today at 877-204-7197
Copyright © 1999-2008 Eutactics, Inc. All Rights Reserved
Eutactics, SEMS Tracker, SEMSNet, i504, iMedicaid, iKeep, iShare and iHome are Trademarks of Eutactics, Inc.