Hosted Services Account Request Form The completion of this form is required in order for you to request any changes to your account, including adding or removing users, changing email addresses, locking a user out or cancelling your service. Once payment has been processed, the form will be forwarded to the Technical Support Department and your request will be completed within 24 business hours. Please note: we will no longer accept any emailed versions of the Account Request Forms. PLEASE NOTE: If you have any questions about how to fill out this form, you can view detailed INSTRUCTIONS HERE.Firm Name:*Account Number (if known):Contact Name:*Contact Phone Number:*Contact Email Address:* If billing is required, what would you prefer?*Charge my credit card on fileSend invoice for paymentWhat change would you like to make?*New Account (select to purchase a license for a new user)New Email Only Account (select to add a new email address only)Account Change (select to modify login name and/or email address)Password Change (select to modify an existing user's password)Account Cancellation (select to terminate an account)New AccountNew User's Name:* First Last Desired Login Name:*Desired Password:**Passwords must contain at least 8 characters, 1 capital letter, 1 number and 1 symbolDesired New Email Address:* Desired Email Password:**Passwords must contain at least 8 characters, 1 capital letter, 1 number and 1 symbolPlease check the software necessary for the account: TrialWorks license ($495) Foxit Phantom ($149) New Email Only AccountUser's Name:* First Last New Email Address:* Desired Password:**Passwords must contain at least 8 characters, 1 capital letter, 1 number and 1 symbolAccount ChangeCurrent User - Name:*Current User - Login*Current User - Email Address:* New User - Name:*New User - Desired Login Name:*New User - Desired Login Password:**Passwords must contain at least 8 characters, 1 capital letter, 1 number and 1 symbolNew User - Desired Email Address:*New User - Desired Email Password:**Passwords must contain at least 8 characters, 1 capital letter, 1 number and 1 symbolPlease select how you want us to handle the data during the replacement:*New login account, new email accountRename login account, new email accountRename login account, rename email accountHow would you like us to handle the data?* Backup user files to Y drive Backup emails to Y drive Delete the old data How do you want to handle the old user's incoming email?*Forward to the new userForward to a different user (email address required)Foward to a group of users (distribution group, emails required)Do not forwardAddress for email to be forwarded to:* Names of users for email to be forwarded to:*(Use + sign to add more rows) How would you like us to handle the data?* Keep user files on U drive Backup emails to Y drive Delete the old data We will keep the user files and the emails.Password ChangeCurrent User - Name:*Current User - Login Name*Desired Password**Passwords must contain at least 8 characters, 1 capital letter, 1 number and 1 symbolCurrent User - Email Address:* Desired Email Password**Passwords must contain at least 8 characters, 1 capital letter, 1 number and 1 symbolAccount CancellationCurrent User - Name:*Current User - Email Address:* Please select any special instructions: Create a backup of the user files Create a backup of the email account Delete the data How do you want to handle the old user's incoming email?*Forward to a different user (email address required)Foward to a group of users (distribution group, emails required)Do not forwardAddress for email to be forwarded to:* Names of users for email to be forwarded to:*(Use + sign to add more rows) Anything else we should know?
