AESSEAL Customer Portal Patent Pending AESSEAL plc 2003	Application Form
	Fields in bold type are required to process your application correctly and quickly.   Forname:  Surname:    Company:  Job Title:    Location:  Telephone:    Fax Number:  Email Address*:    *The email address specified will be used to send your registration details to you. Please ensure it is correct.   AESSEAL Sales Contact Name:  (The name of your contact at AESSEAL will be used to authorise your request)   AESSEAL account codes (if known): Comments/Extra Information:   Please select the AESSEAL companies you would like access to. UK AESSEAL plc US AESSEAL Inc ES AESSEAL Iberica S.L. IT AESSEAL Italia SRL IR AESSEAL MCK DE AESSEAL Deutschland AG NL AESSEAL Benelux CD AESSEAL Canada Inc DN AESSEAL Danmark SA AESSEAL South Africa PTY   All software products, available through any medium from AESSEAL plc, are issued under the strict condition that all copyright, design rights, patents, know-how and other intellectual property rights, including the programs, images, layouts and structures, devised, developed or owned by AESSEAL plc wheresoever in the world, remain the sole property in perpetuity of AESSEAL plc. All AESSEAL Software is issued under the strict condition that the physical media whether in magnetic media, CD-ROM, Book-Form or other electronic versions, remain the sole property in perpetuity of AESSEAL plc. Each Account is individually registered to a particular User, dissemination of the information to any unauthorised third parties will be in violation of the law. Any User of AESSEAL plc Software is hereby advised that whilst every effort has been made to verify the accuracy of the data contained within each application, AESSEAL plc accept no liability resulting from omissions and mistakes in the data or from the use of information contained herein. AESSEAL plc accept no responsibility for any consequential or other damages to the User's equipment upon which the software is in use. Specifically no warranties (implied or otherwise) on fitness of use for a particular purpose have been made in the issue of this product to the User. AESSEAL plc reserve the right to modify the contents of the Databases for each Application without notice and without incorporating those changes into existing copies of the Application. You may contact the AESSEAL IT Department at itsupport@aesseal.co.uk or Call: (+44) 01709 - 514090 for advice. * Viton, Kalrez and Zalak are Registered Trademarks of DuPont Dow Elastomers * Aflas is a Registered Trademark of Asahi Glass Co. * Hastelloy is a Trademark of Haynes International Inc.     In applying for an AESSEAL plc Customer Portal username and password I agree to above stated terms and conditions. Furthermore I explicitly state that I am eligible to view the account data held by AESSEAL plc about my employer. I also acknowledge that due to the confidentiality of the information contained within this site all applications will be verified. I agree to the above stated terms and conditions   To contact the administrators please click here