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 address *
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 *
Your answer
Middle names
Your answer
Family name *
Your answer
Role *
Position within the company
Your answer
Email *
Your answer
Phone number *
Please enter your phone number in an international format starting with + sign.
Your answer
Company *
Your answer
Department *
Your answer
City *
Your answer
Region *
State or Province or other major region commonly used in your country mailing addresses.
Your answer
Country *
Your answer
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 *
Your answer
Family name 2 *
Your answer
Role 2 *
Position within the company
Your answer
Email 2 *
Your answer
Phone number 2 *
Please enter your phone number in an international format starting with + sign.
Your answer
Invoice information
Please enter complete information to whom we should address the invoice, such as person, department, address, tax id etc.
Invoice address *
Your answer
Invoice email *
Where should we email the invoice?
Your answer
Invoice phone number *
Please enter the phone number of the person handling the invoice in an international format starting with + sign.
Your answer
Service Agreement
*
Required
A copy of your responses will be emailed to the address you provided.
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