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BrokerForce® - Add or Transfer a PocketRep® License Request Form
Use this form to request a new, or transfer an existing, PocketRep® license.
   
Reason for request*  
Previous user name
   
Your Information:  
Name*  
Company Name*  
Position*  
E-mail Address*    
Phone*  
My Company Uses*  
  If licenses are being added that will not be used by one individual, for example
a showroom/tradeshow scanner,names for each device as the recipient that will be licensed.
Fill in each showroom/tradeshow device name, i. e. ACME Showroom 1,
ACME Showroom 2, ACME Showroom Dallas, ACME Showroom Atlanta, etc.
One, two, three, or Showroom 1, Showroom 2, will not be accepted.
The recipient device must have a unique name that identifies the business or individual with which/whom it is associated.

PocketRep® User Information:  
First Name*  
Last Name*  
Phone*  
Fax
Email Address*    
Street Address*  
Address (cont.)
City*  
State/Province*  
Zip/Postal Code*  

PocketRep® Device Information:
 
Owner Information*     
  Owner Information must be EXACTLY as it appears on the device
on the Today screen (this is case sensitive)
Make*  
Model*  
  PocketRep software is distributed via Internet download.
If you do not have an adequate Internet connection to carry out the process,
please contact support@brokerforce.com to request an alternative means of distribution
Type of Internet Service*  
 
 
  *If you do not currently have an account with DataForce, Inc., please submit this form
and call BrokerForce Support 303-665-2344 or send an email to equesting an account setup.
Pricing is associated with your BrokerForce® software user level.


*PocketRep® licenses or updates can not be issued to BrokerForce® users
who are not current in their support subscription. Please contact
support@brokerforce.com if you need to update or renew your support subscription.
DO NOT email credit card information
 
Use the area below for special shipping/billing instructions, Fed-Ex shipping number, etc.
Any data replacements should include error message or reason.
Notes:
 
By clicking "Submit Request" I hereby authorize DataForce, Inc. to
distribute PocketRep® software to the the individual specified in the PocketRep® Recipient section of this form.
I accept responsibility for payment of the software licensing fee.
 
 
Your pass-code to run PocketRep® software will be provided by phone or email following payment verification.
         
         
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