Account Change Request
Total Page：16
File Type：pdf, Size：1020Kb
Office Use Only Work Order # ______Account Change Request
Company Name
Address
City n o i t
a State Postal Code m r o f n I Phone y n a p
m Fax o C
Contact Name
Email Address
To find your Customer ID click on your icon SuccessWare®21 Customer ID (required) and choose ‘Setup’ then ‘Utilities’ (choose ‘Yes’ to close open forms), then double click on ‘Activation’.
ASP / Citrix User Logon Information
First Name Last Name Citrix Account Name Add User Disable User Reset Password
1.
2.
3.
4.
5.
Signature of Authorization ______
In signing, you agree that you are authorized to make ASP User Account changes for this account and agree to additional reoccurring charges for new users. Please email a signed copy of this form to the following address, [email protected] or fax it to, 716-691-9114. A representative will contact you to coordinate your setup.
877-88-GO-ASP 877-884-6277