Account Setup Form

Please choose name for your account (one word)

Your name: *

Your contact phone: *

Your E-Mail: *

If all your stations belongs one company, please give us your company name: *

Company address: *

How did you hear about us?

Please list all your stations

	Station Name	Station Index	Cash Register Type						Scanner exist and connected?	Local Computer?	Connected to register?	Internet Connection ***			Back Office software
	please use no more then two words	please use two letters, or your internal company number for this location	G-Site C-2	G-Site PC	Ruby	Passport	Nucleus	Sapphire	Yes/No	Yes/No	Yes/No	DialUp	DSL	Broadband	Yes/No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

*	if legal structure is more complicated, please fill up "Legal Structure Form"
**	you can find this information on you shift or day report print out
***	DSL or Broadband are most preferrable types of connection to the internet