PSA HelpDesk Service Registration Form
This form allows you to register for PSA HelpDesk support. It is NOT a contract. Price will be set based on your order and negotiated contract. See our Service Agreement https://goo.gl/tGgKRj
Email *
Ordered plan *
How many hours of support do you need? Credit expires after 1 year.
Preferred consultant *
Do you have a preference, with which consultant you will most likely work? (based on your technical needs, geographic location, etc.)
Credit owner
Please enter contact information of the credit owner, who will approve every consultation.
First name *
Middle names
Family name *
Role *
Position within the company
Email *
Phone number *
Please enter your phone number in an international format starting with + sign.
Company *
Department *
City *
Region *
State or Province or other major region commonly used in your country mailing addresses.
Country *
Alternate contact person
Please enter a person that can approve the use of your credit hours in case the primary credit owner is not available
First name 2 *
Family name 2 *
Role 2 *
Position within the company
Email 2 *
Phone number 2 *
Please enter your phone number in an international format starting with + sign.
Invoice information
Please enter complete information to whom we should address the invoice, such as person, department, address, tax id etc.
Invoice address *
Invoice email *
Where should we email the invoice?
Invoice phone number *
Please enter the phone number of the person handling the invoice in an international format starting with + sign.
Service Agreement
*
Required
A copy of your responses will be emailed to the address you provided.
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