1.
Primary Contact:
2. Primary Email Address:
3. Primary Phone Number:
4. Company Name:
5. Company Address:
6. Support - Initial Level:
Please Select
No Support - Software Upgrade Protection Only
0 - 2,999 Points: Base Support with Incident Packs (ICP)
3,000 - 49,999 Points: Professional Support (PS)
50,000 - 199,999 Points: Enterprise Support (ES)
200,000+ Points: Enterprise Plus Support (EPS)
Unknown
7. Technical Account Manager (“TAM”) Services:
Please Select
Advantage TAM
Premier TAM
Enterprise TAM
Dedicated TAM
Unknown
8. Please check the box indicating how you are electing to purchase Support Services.
LANDesk
Reseller Name
9. First Day of Support Term:
If no date provided, default is the Effective date of this Agreement
10. Last Day of Support Term:
If no date provided, default is the date that is one (1) year after the Effective Date of this Agreement
11. Download and Read:
Support Services Agreement - Terms and Conditions
Please check the box to verify that you have read and accept the Support Services Agreement and its terms and conditions.