Phase Three Logic, Inc. Evaluation Request Form

Please fill out the following information:

Name:      

Title:     

Company:   

Address:    

City:      State/Province: 

Zip/Postal Code: 

Country:  

Phone:     

Fax:       

Email address:    

Web/Home Page: 

How long do you need to evaluate CapFast?  

Please check all that apply:

Applications Platforms

CapFast for EPICS applications

Windows 95 or NT

CapFast as an EDA front-end tool

Solaris

Other

HP/UX

Other O/S

Thank you for your time!