| Official name of your organisation: |
|
| Official trading name of your organisation: |
|
| Your name: |
|
| Your email address: |
|
| Your contact telephone number: |
|
| In which Country is your business situated? |
|
| Short description of the services/products your organisation provides: |
|
| Which of the following two options would you require with regards to your LMS template design? |
Standard Moodle template with client logo/colours
Re-design, tailor-made template and user fields
|
| Would you like to accept direct credit card payments on your website? |
Yes
No
|
| How many users do you plan to serve on your website within 3 months of setup? |
|
| How many users do you plan to serve on your website within 12 months of setup? |
|
| Please indicate the maximum number of courses you would load onto the website: |
|
| Please indicate the nature of the courses you would present on the website: |
|
Please indicate whether you would prefer AOSIS to host your website,
or whether you would like to host it yourself: |
AOSIS
Internal
|
| Please indicate the number of LMS websites you require: |
|
| Would you require a once-off bulk registration of users on your website? |
Yes |
| Which of the following two options would you require with regards to your domain name? |
Our domain (Example "yourname".ituta.net)
Your own domain (.co.za, .com, .net)
|
| Feel free to add any extra comments here: |
|
Type in the security code:
 |
|
| Click to submit your request to AOSIS |
|
| Reset form and start over |
|
