RAPID CONNECTION FORM FOR NEW CLIENT

The information you provide below will help us prepare the Exchange 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.

Company Information
* Mandatory Fields

COMPANY CONTACT INFORMATION

Company Name*
Business Type*  Other:
Activity Type*  Other:
Main Telephone Number
(Enter the phone number with no spaces)
Company Website
Street Address*
City*
State/Province
Postal Code/Zip Code*
Country*


ADDRESS OF EXCHANGE SERVER LOCATION

Same as company address
Street Address*
City*
State/Province
Postal Code/Zip Code*
Country*

Technical Parameters
* Mandatory Fields

NETWORK CONNECTIONS AND PARAMETERS

Please specify the internet bandwidth that will be allocated for the Exchange Server
Internet Bandwidth
Download Speed: Mbps
Upload Speed: Mbps

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* .  .  .   
Other specific setup requests

CLOUD SERVER

Cloud Type  Other:
Version

For AWS, thanks to specify your region and your account number


Smartjog Users
* Mandatory Fields

GENERAL

The Primary Technical Contact will receive an authentication certificate via email for secure access to the Smartjog member site.

They will also be granted Administrator priveledges which allows them to easily create additional users who also require certificates and access


You must enter a primary technical 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
By default, the technical contact will receive email notifications of all file deliveries to the Exchange Server.
If other people should be notified instead, please specify their email addresses (separated by commas):




Main Sales Contact

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

Traffic Contact

Same as primary technical contact
*Mr. Mrs. Ms.
Last Name*
First Name*
E-mail*
Phone*
(Enter the phone number with no spaces)
 
Shipment & Billing
* Mandatory Fields

EQUIPMENT SHIPMENT

This section is exclusively dedicated to hardware servers not virtual machines (VM)

Choose shipping method

Use my FEDEX account number:
Use my DHL account number:
Other:
Specific shipping instructions


BILLING INFORMATION

Financial Contact and Invoice Address

*Mr. Mrs. Ms.
Last Name*
First Name*
Title*
Street Address*
City*
State/Province
Postal Code/Zip Code*
Country*
Financial contact E-mail*
Phone*
(Enter the phone number with no spaces)
Invoice contact E-mail*
VAT (Value Added Tax) number