Wufoo

EBL Trial Request Form

Library Name *
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Library URL *
Main Trial Contact
Name * First Last
Position *
Email *
Other Trial Librarians
Name First Last
Position
Email
Name First Last
Position
Email
Please enter any additional user details in the space provided:
Would you like the download function on or off for ebooks during your trial?
Content preference - please identify any special areas of interest:
What Operating System (Windows2000/XP, Mac OSX, Linix etc.) and Web Browser (Internet Explorer5.5/6.0, Netscape 6.0 etc.) do you use in your library?
What version of Adobe Reader is installed in your library?
How do you currently authenticate your external patrons for electronic resources?
Can you validate IP ranges?
(Can all users, both internal and external, be directed through a single IP address or a set of IP adresses?)
Do you use a proxy server?
If so, which one?
IP ranges for inclusion in IP validation:
Authentication for your EBL trial will be managed by IP range and password log-in.
Please provide a list of IP information below.
For a single IP address, enter the first IP address and for a range, enter the start and finish of the range.
Do you have any special instructions or requests for you trial?
Thank you very much for taking the time to fill out this form, we will be in touch with you shortly with access and user instructions for your trial.
Where did you hear about EBL and the free trial? *
Do Not Fill This Out