Afinety Support: Remote Sign-up

AFINETY REMOTE SIGN-UP FORM

Please complete the registration form below. Remote support service is provided to Afinety Client Service Agreement clients on a standard invoice basis or to non-CSA clients via monthly credit card billing. Your Afinety account executive will contact you to finalize your remote support agreement. Upon client status verification and remote support activation, you will receive an email from Afinety Support providing additional information and instructions.

Please see the Afinety Support Page for a step by step description of the remote support process. Remote Support Service Charge: $25.00 per month (for non-Fortress/Evolution clients)

Actual support hours billed: 6 minute increments
Activation Fee: $100.00

Thank you - Afinety Support

Name: First and Last Name

Email:

Phone:

Title:

Company:

Address:

Address 2:

City:

State:

Zip:

How did you learn about Remote Support?: Direct Mail, Account Executive, Web Site, Email, etc.

Type of Business::
Law, CPA, Services, etc.

Number of PCs: Including Desktops and Laptops

Number of Servers: In all locations

Number of Locations:

Number of Remote Users: Working at Home or Mobile

Personal Computer OS: Windows XP Pro
Windows XP Home
Windows 2000
Windows NT
Windows 98
Windows 95 Select all operating systems that are in use in your business

Server OS and Server Application: Server 2003
Small Business Server 2003
Server 2000
NT Server
MS SQL Server
MS Exchange Select all that apply

Applications:
MS Office
Wordperfect
Outlook
Practice Management
Document Management Select all that apply - if you have additional application requirements, please provide details in the comment area

Current IT support: How do you currently support your staff?

Comments and additional requirements:

Are you interested in a network and technology assessment?: Yes
No

To provide high quality technical service, Afinety focuses on what we do best - support for Windows desktop and server technology. With this in mind, we do not offer support for Apple, Sun, UNIX or LINUX.

Name:		First and Last Name
Email:
Phone:
Title:
Company:
Address:
Address 2:
City:
State:
Zip:
How did you learn about Remote Support?:		Direct Mail, Account Executive, Web Site, Email, etc.

Type of Business::		Law, CPA, Services, etc.
Number of PCs:		Including Desktops and Laptops
Number of Servers:		In all locations
Number of Locations:
Number of Remote Users:		Working at Home or Mobile

Personal Computer OS:	Windows XP Pro Windows XP Home Windows 2000 Windows NT Windows 98 Windows 95	Select all operating systems that are in use in your business

Server OS and Server Application:	Server 2003 Small Business Server 2003 Server 2000 NT Server MS SQL Server MS Exchange	Select all that apply

Applications:	MS Office Wordperfect Outlook Practice Management Document Management	Select all that apply - if you have additional application requirements, please provide details in the comment area

Current IT support:		How do you currently support your staff?

Comments and additional requirements:
Are you interested in a network and technology assessment?:	Yes No

To provide high quality technical service, Afinety focuses on what we do best - support for Windows desktop and server technology. With this in mind, we do not offer support for Apple, Sun, UNIX or LINUX.