Welcome to the Rapid Connection form, which is the first step in becoming a member of the SmartJog community. The information you provide below will help us prepare the SmartJog server that will enable you to take advantage of our full-service media solution.

Before beginning the Rapid Connection Form, please prepare your official company information for registration and billing. It is also recommended that your IT specialist be present when filling out the technical parameter section of the form. For any questions regarding the Rapid Connection form, please email support@smartjog.com with your contact information and a SmartJog representative will get back to you shortly.

* Mandatory Fields

COMPANY CONTACT INFORMATION

Company Name*
Business Type*	-- Select your Business -- Broadcaster Cinema Distributor - Right Holder Post-Production - Dubbing Facility Other  Other:
Activity Type*	-- Select your Activity -- Theatrical Home Entertainment Television D-Cinema Exhibitor D-Cinema Installer New Media Other  Other:
Main Telephone Number (Enter the phone number with no spaces)
Main Fax Number
Company Website
Street Address*
City*
State/Province
Postal Code/Zip Code*
Country*	-- Select a Country -- AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChannel IslandsChileChinaColombiaComorosCongoCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic People's Republic of KoreaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaeroe IslandsFalkland Islands (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHong KongHondurasHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)MonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOccupied Palestinian TerritoryOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of KoreaRepublic of MoldovaRéunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan Province of ChinaTajikistanThailandThe former Yugoslav Republic of MacedoniaTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited Republic of TanzaniaUnited StatesUnited States Virgin IslandsUruguayUzbekistanVanuatuVenezuelaViet NamWallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe

ADDRESS OF SMARTJOG SERVER LOCATION

Same as company address
Street Address*
City*
State/Province
Postal Code/Zip Code*
Country*	-- Select a Country -- AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChannel IslandsChileChinaColombiaComorosCongoCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDemocratic People's Republic of KoreaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaeroe IslandsFalkland Islands (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHong KongHondurasHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)MonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOccupied Palestinian TerritoryOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of KoreaRepublic of MoldovaRéunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan Province of ChinaTajikistanThailandThe former Yugoslav Republic of MacedoniaTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited Republic of TanzaniaUnited StatesUnited States Virgin IslandsUruguayUzbekistanVanuatuVenezuelaViet NamWallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe

OTHER

Operating System

Windows	Version:
Mac	Version:
Other	Description:

* Mandatory Fields

NETWORK CONNECTIONS AND PARAMETERS

LAN (Local Area Network) - RJ45

Fast Ethernet (100 Mbps)

Giga Ethernet (1 Gbps)

Ethernet (10 Mbps)

Internet

Download Speed :	Mbps
Upload Speed :	Mbps

Phone Line

For remote access to the SmartJog server in case of a network outage

Phone Number (Enter the phone number with no spaces):

SERVER PARAMETERS

Please provide private IP addresses from one of the following ranges:

10.0.0.0/8
172.16.0.0/12
192.168.0.0/16

IP Address*	.  .  .    (Need to be fixed & private)
Network Mask*	.  .  .
Default Gateway*	.  .  .

SATELLITE PARAMETERS

Dish status*	-- Select a Dish Status -- Already available Not yet available (plan to install) Not available (no plan to install)
Diameter:	m  Satellite dish pointed to one of the following satellites  : -- Select a Satellite -- IS-8@166°E IS-10-02@359°E IS-805@304.5°E IS-903@325.5°E IS-904@60°E IS-905@355.5°E Other

* Mandatory Fields

GENERAL

Each user entered below will receive a SmartKey (a personal USB Key) for secure access to the SmartJog member site. In order for SmartJog to provide an adequate number of SmartKeys, please indicate each user's contact details.

You must at least enter a primary technical contact or main contact in order to complete this step.

Primary Technical Contact for Site Set-Up and Coordination

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone
The Primary Technical Contact will need access to the SmartJog service.

By default, the technical contact will receive e-mail notifications of all file deliveries to the SmartJog Server. If other people should be notified instead, please specify their email addresses (separated by commas):

Main Sales Contact

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone
The Main Sales Contact will need access to the SmartJog service.

Traffic Contact

	*Mr. Mrs. Ms.
Last Name*
First Name*
E-mail*
Phone* (Enter the phone number with no spaces)
The Traffic Contact will need access to the SmartJog service.

Users

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone

Add more users

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone

	*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
E-mail*
Phone* (Enter the phone number with no spaces)
Mobile Phone