License Request Form

Please provide the following information on company letterhead*

Name:                         ______________________

E-mail:                        ______________________

Hardware Address:    ______________________  Mac  or   PC

Company Information:

Address:          ________________________

________________________

                   ________________________

                   ________________________

                   ________________________

Web Site:      ________________________

Phone:             ________________________

Fax:              ________________________

Position:          _______________________

Lab:                 _______________________

Research Topic: _______________________

*Requests will not be processed unless they are on company letterhead and all of the above information is included.

Send your FlowJo serial number request to:

            Tree Star, Inc.

            Free FlowJo in Africa

            340 A Street, Suite 206

            Ashland, OR 97520

            USA

or fax to 001-541-482-3153

For more information, please contact Susan Alderson, salderson@treestar.com