Information & Pricing Request Form

www.ghga.com/testbed

First Name

Last Name

Title or Position

Company / Lab / Institution

Address #1

Address #2

City

State or Province

Zip or Postal Code

Country

Phone

Fax

Email Address

Confirm Email

Products of Interest:
Beamline Simulator LIDOS RFQ Designer

PBO Lab Basic Package PBO Lab TRANSPORT Module

PBO Lab TURTLE Module PBO Lab MARYLIE Module

PBO Lab TRACE 3-D Module PBO Lab PARMILA-2 Module

PBO Lab Electrostatic Palette PBO Lab Traveling Wave Palette

PBO Lab DECAY-TURTLE Module PBO Lab PSI-TURTLE Module

PBO Lab Optimization Module OASIS Module Builder for PBO Lab

A PBO Lab Custom Module Discontinued Product or Other

Operating System:

When Needed:

Windows Immediate (1 month)

Macintosh running Windows (use comments) Intermediate (2-6 months)

Linux with Windows emulator (use comments) Future (6-12 months)

Information & Pricing Request Form

First Name

Last Name

Title or Position

Company / Lab / Institution

Address #1

Address #2

City

State or Province

Zip or Postal Code

Country

Phone

Fax

Email Address

Confirm Email

First Name

Last Name

Title or Position

Company / Lab / Institution

Address #1

Address #2

City

State or Province

Zip or Postal Code

Country

Phone

Fax

Email Address

Confirm Email

Products of Interest:

Operating System:

When Needed:

Windows Immediate (1 month)

Macintosh running Windows (use comments) Intermediate (2-6 months)

Linux with Windows emulator (use comments) Future (6-12 months)

Operating System:

When Needed:

Comments / Questions / Requests for Information:

Comments / Questions / Requests for Information:

Products of Interest:	Beamline Simulator	LIDOS RFQ Designer
	PBO Lab Basic Package	PBO Lab TRANSPORT Module
	PBO Lab TURTLE Module	PBO Lab MARYLIE Module
	PBO Lab TRACE 3-D Module	PBO Lab PARMILA-2 Module
	PBO Lab Electrostatic Palette	PBO Lab Traveling Wave Palette
	PBO Lab DECAY-TURTLE Module	PBO Lab PSI-TURTLE Module
	PBO Lab Optimization Module	OASIS Module Builder for PBO Lab
	A PBO Lab Custom Module	Discontinued Product or Other

Operating System:	When Needed:
Windows	Immediate (1 month)
Macintosh running Windows (use comments)	Intermediate (2-6 months)
Linux with Windows emulator (use comments)	Future (6-12 months)

Information & Pricing Request Form

First Name Last Name Title or Position Company / Lab / Institution Address #1 Address #2 City State or Province Zip or Postal Code Country Phone Fax Email Address Confirm Email

First Name

Last Name

Title or Position

Company / Lab / Institution

Address #1

Address #2

City

State or Province

Zip or Postal Code

Country

Phone

Fax

Email Address

Confirm Email

Products of Interest:

Operating System: When Needed: Windows Immediate (1 month) Macintosh running Windows (use comments) Intermediate (2-6 months) Linux with Windows emulator (use comments) Future (6-12 months)

Operating System:

When Needed:

Comments / Questions / Requests for Information:

Comments / Questions / Requests for Information:

First Name

Last Name

Title or Position

Company / Lab / Institution

Address #1

Address #2

City

State or Province

Zip or Postal Code

Country

Phone

Fax

Email Address

Confirm Email

Operating System:

When Needed:

Windows Immediate (1 month)

Macintosh running Windows (use comments) Intermediate (2-6 months)

Linux with Windows emulator (use comments) Future (6-12 months)