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Reason for request* |
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Previous user name |
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Your Information: |
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| Name* |
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| Company Name* |
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| Position* |
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| E-mail Address* |
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| Phone* |
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| My Company Uses* |
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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.
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PocketRep® User Information: |
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| First Name* |
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| Last Name* |
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| Phone* |
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| Fax |
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| Email Address* |
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| Street Address* |
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| Address (cont.) |
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| City* |
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| State/Province* |
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| Zip/Postal Code* |
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PocketRep® Device Information: |
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| Owner Information* |
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Owner Information must be EXACTLY as it appears
on the device
on the Today screen (this is case sensitive)
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| Make* |
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| Model* |
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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* |
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*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 |
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Use the area below for special shipping/billing instructions, Fed-Ex shipping
number, etc.
Any data replacements should include error message or reason.
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| Notes: |
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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. |
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Your pass-code to run PocketRep® software will be provided by phone or email
following payment verification. |