Start your free trial.

Sign up now to request your 30-day free trial for SwiftMR.

Complete the form below to start your free trial.
Our team will be in touch to help you make the most of your trial.

 
 
 

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Limited Evaluation Registration Form

This Limited Evaluation Registration Form, upon completion, constitutes a legally binding agreement for the limited use of the AIRS Evaluation Product (as defined below) provided by AIRS Medical Inc.(”AIRS”) to the customer identified below (“Customer”).

The purpose of this Limited Evaluation Agreement is to provide for Customer’s no cost access and use of the AIRS Evaluation Product for the length of time reasonably necessary under the circumstances for Customer to assess the appropriate use and functionality of the AIRS Evaluation Product and to determine whether and when to use, order, purchase, or recommend the AIRS Evaluation Product in the future.

 
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Your Name
Which MRI scanners do you have? (Select all that apply)
How did you come to know us?
Master Service Agreement
Business Associate Agreement
Marketing Agreement
Privacy Statement Agreement
Consent for Collection and Use of Personal Information (Required)
Consent for Collection and Use of Personal Information (Required)



For the purpose of “Request Free Trial” service, we collect and use the following personal information:

- Purpose of processing: responding to the request, providing free trial of the product and the service, managing the history of free trial

- Items processed: Name, Email, Phone number, Institution/Company name, Position

- Retention period: Unless there is an obligation to preserve under relevant laws, up to 3 years from the date of submission



You have the right to refuse consent. However, refusal to consent to required items may result in restricted service.

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