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Application to Add Enrol to New QikKids Database
This application is for clients who wish to add Journeys/Enrol to their database.
COMPANY DETAILS
Company/Group name
*
Street
*
Suburb
*
State
*
-- Select State --
QLD
NSW
ACT
VIC
TAS
SA
WA
NT
Postcode
*
PRIMARY CONTACT DETAILS *
(PLEASE MAKE SURE YOU HAVE THE AUTHORITY TO REQUEST THIS CHANGE)
PRIMARY CONTACT DETAILS
*
First Name *
Last Name *
Email Address
*
Phone Number (incl. Area Code)
*
SECONDARY CONTACT POINT
(PLEASE MAKE SURE YOU HAVE THE AUTHORITY TO REQUEST THIS CHANGE)
SECONDARY CONTACT POINT
First Name
Last Name
Email Address
Phone Number (incl. Area Code)
EXISTING DATABASE DETAILS
Current Database Name
*
Support ID of 1 service on database
*
SERVICES ORDERED
check
Enrol
Comments (Note that all services on your QikKids database will be activated for Enrol by default. If you have more than one service on the database however do not want them all activated, please provide details of your needs below)
Consent journey
*
I accept the terms and conditions associated with the use and billing of Journeys* and the terms and conditions of Free for the First 30 Days opportunity.
*
(By ticking this box, I accept that I will be charged at $1 per active child per month for this service. Billing will be done monthly in arrears and commence from the day you receive your login details. This will be charged via Direct Debit and authorised in the next step of this order process.)
terms and conditions
terms and conditions
Consent Enrol
*
I accept the terms and conditions associated with the use and filling of Enrol *and the terms and conditions of the Free for the First 30 Days opportunity.
*
(By ticking this box, I accept that I will be charged $600 per centre activated per year for this service. Billing will be done annually pro rata and commence from the day you receive your login details. This will be charged via Direct Debit and authorised in the next step of this order process.)
terms and conditions
terms and conditions
Do you already have a Direct Debit arrangement with QK Technologies?
*
Yes
No
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