State
(Please select)
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
NON US
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
NON US
Country
(Please select)
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and
Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and
Herzegovina
Botswana
Bouvet Island
Brazil
British
Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central
African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory
Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Czechoslovakia
(former)
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland
Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French
Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard
and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jarvis Island
Jordan
Kazakhstan
Kenya
Kiribati
Korea (North)
Korea (South)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands
Antilles
Neutral Zone
New Caledonia
New Zealand
(Aotearoa)
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern
Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts
and Nevis
Saint Lucia
Saint
Vincent and the Grenadines
Samoa
San Marino
Sao Tome and
Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South
Georgia and South Sandwich Isls.
Spain
Sri Lanka
St. Helena
St. Pierre
and Miquelon
Sudan
Suriname
Svalbard
and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and
Tobago
Tunisia
Turkey
Turkmenistan
Turks and
Caicos Islands
Tuvalu
US Minor
Outlying Islands
USSR (former)
Uganda
Ukraine
United Arab
Emirate
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican
City State (Holy See)
Venezuela
Viet Nam
Virgin
Islands (British)
Virgin Islands
(U.S.)
Wallis
and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
This is used for invoices, and is
the default address for shipping when you order (you
can optionally route shipments direct to your customers).
Sales Region
If most of your business is local
(for example in a specific city) or if you are based
in one country but also sell to others, please tell
us so that we can refer relevant customers to you.
Existing Clients
This is normally left blank, but, for
example we have a reseller who is used exclusively
by Nokia for software buying. It speeds up sales now
we can tell all people enquiring from Nokia to go
to this reseller.
Other Software You Sell
E.g. CAD, Visio. This helps us communicate to you specific
technical information for on-selling to your existing
customers.
Specialist Vertical Markets
E.g. Communications, Manufacturing. Leave
blank if you sell into any markets. This information
helps us know where SIMUL8 is in most demand and focuses
our advertising. It also helps us know what type of
customers to refer to you.
Simulation Experience
This can be consulting, qualifications
or courses you've attended, using SIMUL8 or any other
simulation software.
Tax ID or VAT Number
Your business Federal Tax ID (or equivalent
in your country - e.g. VAT number in Europe) For VAT
numbers please include the 2 character country code.