Product Review Request Form

Product Review Request Form

Contact Information

Name *

Please enter your name.

Company Information *

Please provide the name of your company.

Company URL *

Please provide the URL for your company.

Contact Phone Number *

Please provide your contact phone number.

E-Mail Address *

Please provide an e-mail address where you may be contacted.

Confirm E-Mail Address *

Please confirm your e-mail address.

Product Information

Product Name *

Please enter the name of the product.

Target Audience *

Please enter the target audience for the database.

Purpose/Intent of the Database *

Please describe the purpose/intent of the database.

Brief Description of the Database *

Please enter a brief description of the database.

Trial Information for the Database Review Committee *

Please specify how the Database Review Committee will be able to access the product during the trial period.

Authentication Methods *

Please describe the authentication methods that are used/supported by the database.

References

Please use this section to provide any references that may wish to include with your submission.

Reference #1

Reference #2

Reference #3

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