SAAS Submission Form - VisioLogix Corporation | An Innovative Video Surveillance Company

SAAS Submission

Please enter all the information below before submitting.

SAAS Server Submission

Agency Name: *

Please enter your Agency Name

Agency Contact Name:

Please enter the First and Last Name of the Primary Contact Person

Agency Primary Contact Phone Number:

Please enter the Phone and Extension of the Primary Contact Person

Agency Primary Contact Email:

Please enter the email of the Primary Contact Person. This email is used for corresponding only.

Contact Preference

Phone

FQDN of Server:

Enter the fully qualified domain name of the server. For example: myserver.visiologix.com

UNC Path:

Comments:

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