procureconnect.com

Demo Request Form
Please read all the instructions before proceeding.

Please complete the form below. Immediately after you submit this form, you will receive
confirmation of your request.

We will send information for a Demonstration and temporary access. Please note that the access credentials will change monthly. If you have not accessed for 30 days or refused access, please
"re-submit" your request.

Demonstration and temporary Demo Site Access Request Form:


Name:

Company:

Email:

Re-enter Email:

Phone:

Who referred you to procureconnect:
                     Please enter name and phone number if known.
Referred by:
Referred by Phone number:

OR
How did you become aware of procureconnect?

Terms and Conditions of Use:

I acknowledge and understand the provision of a "Temporary Buyer's User ID" and "Password" is good for 30 days from date of my receipt of same. Further, I acknowledge I am using the Demonstration Site of a Patented Service (Patent Number 7,418,410), and all rights are reserved. Any and all intellectual property rights ("Intellectual Property") associated with the Web Site and its contents (the "Content") are the sole property of procureconnect. The Content is protected by copyright and other laws in the United States.

procureconnect does not grant Subscribers or individuals with “Demonstration Access” any express or implied rights to its Intellectual Property known as the procureconnect application. Further, none of the Content and/or Information may be reverse-engineered, modified, reproduced, republished, translated into any language or computer language, re-transmitted in any form or by any means, resold or redistributed.

procureconnect, at its sole discretion, may terminate or suspend the “Demonstration Site Access” use at any time.

I understand that any inquiries of a technical nature received by me shall be redirected to procureconnect.

I understand I must acknowledge and accept the Terms and Conditions to use the Demo Site.

Accept the Terms and Conditions - Check one:     YES, I accept     NO, I do not accept

Please click on the submit button.
You will then see an acknowledgement of your request.
In a few days, you will receive a Buyer's User ID, Password and the Demo Site URL.

Thank you for your interest.

Please Contact us if you have any questions or need to redirect inquiries.

procureconnect, LLC
2121 15th Ave
Melrose Park, IL 60160
Fax#: 847-671-0898