Membership & Software

Request Form
Microsoft Business Applications
Academic Community

Please complete and return this form to BAAC@Microsoft.com. If you are requesting more than one
application, please describe how each application will be used, as well as the number of users. Please
complete all fields.

SECTION ONE: Educational institution information

Institution name:
Institution address:

Institution website:

SECTION TWO: Primary contact

Contact name, title:
Department:
Email:
Phone:

SECTION THREE: Business applications requested

Microsoft Dynamics
Business Application(s): ☐ Microsoft Dynamics 365 for Finance and Operations (on-premise)

☐ Microsoft Dynamics 365 Business Central (on-premise)

☐ Microsoft Dynamics NAV 2018 (on-premise)

☐ Microsoft Dynamics GP 2018 (on-premise) for selected regions.

☐ Microsoft Dynamics 365 Customer Engagement Plan (online)

Number of users:

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 SECTION FOUR: Implementation plan (please include details)
Courses where the application(s) will be used:

How the application will be used:

Timeline and plan for installation:

How did you find out about the program?

Additional comments:

If your institution is working with a Microsoft Dynamics partner, please complete the following section.

SECTION FIVE: Partner information

Microsoft Dynamics partner organization:

Contact name:
Contact email:
Contact phone:
Partner organization website:
Please indicate how this Microsoft Dynamics partner
will support your program (i.e. implementation,
internships/co-ops, hosting, guest lecturers):

If you would like to work with a partner or find out how this can benefit your school, you can look up
potential partners in your region here: https://dynamics.microsoft.com/en-us/partners/find-a-partner/
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or contact BAAC@Microsoft.com for more information.

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