Polycom VaaS-t Trial Application Form

 

POLYCOM VAAS-T TRIAL APPLICATION FORM

Please complete all sections of the form marked by a (*), failure to do so could cause delays in processing the application.

AIMAGO SCANSOURCE DETAILS
a.1SALES PERSONSanjay Gurewan
a.2EMAILsanjay@ariacommunications.co.uk
a.3PHONE NUMBER07899890193

 

BDEALER DETAILS
b.1COMPANY NAMEAria Communications Ltd
b.2COMPANY ADDRESS12 Helens Gate
Thomas Rochford Way
Cheshunt
EN8 0SQ
b.3CONTACT NAMESanjay Gurewan
b.4EMAILsanjay@ariacommunications.co.uk
b.5PHONE NUMBER07899890193

 

CEND USER DETAILS
c.1COMPANY NAME{user_company_name}
c.2COMPANY ADDRESS{user_company_address1}
{user_company_address2}
{user_company_country}
{user_company_city}
{user_company_postcode}
c.3ADMIN CONTACT{user_firstname} {user_lastname}
c.4ADMIN EMAIL{user_email}
NB: This is where the registration email will be sent to, please check your SPAM and JUNK folders
c.5ADMIN PHONE NUMBER{user_phone_number}
c.6TECHNICAL CONTACT(if different to ADMIN)
c.7TECHNICAL EMAIL(*)
c.8TECHNICAL PHONE NUMBER(*)
c.9NAME YOUR ROOM(*)
NB: must be more than 6 characters long

 

DTRIAL DETAILS
d.1TRIAL START DATE (*)
d.2LICENSES REQUIRED (Max 10)(*) 1
NB: Please note this can take 48 hours to setup, contracts terminate after 30 days

 

INTERNAL OFFICE USE ONLY
CREATED BY
DATE
NOTES
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