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SafeConsole Demo
New Account Application
A new account application is required to establish service with one of our Central Management Services
Which Central Management Product
*
Select Product
SafeConsole Cloud
SafeConsole On-Prem
Server Site Name:
Please note that the requested server name needs to be a minimum of 6
characters long.
(example: mycompany.safeconsolecloud.com)
Company Information
Company Name
*
Company Headquarters Address
*
Street Address
City
–None–
AC
AG
AG
AL
AL
AK
AB
AL
AP
AM
AN
AN
AP
34
AO
AR
AZ
AR
AR
AP
AS
AT
ACT
AV
BA
BC
BS
BA
BT
BY
11
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BS
BR
BC
CA
CA
CL
CM
CB
CI
CW
CE
CT
CZ
CN
CE
CH
CT
CS
CH
CH
71
50
CE
CO
CL
CO
CO
CT
CO
CS
CR
KR
CN
DN
DD
DE
DL
DC
DF
DL
D
DG
EN
ES
DF
FM
FE
FI
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FG
FC
FR
35
G
62
GE
GA
GA
GO
GO
GR
GT
44
45
GR
52
GJ
46
HR
HI
13
23
41
HG
HP
91
42
43
ID
IL
IM
IN
IA
IS
JA
JK
JH
32
36
22
KS
KA
KY
KL
KY
KE
KK
AQ
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SP
LT
LE
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21
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92
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MT
MS
MO
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VS
ML
ME
ME
MI
MI
MI
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MS
MO
MZ
MO
MN
MT
MB
MO
NL
NA
NA
NE
15
NV
NB
NL
NH
NJ
NM
NSW
NY
64
NC
ND
NT
NT
NO
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OA
OR
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OG
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OK
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ON
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OR
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PB
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61
37
31
14
51
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SI
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TB
TM
TN
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TAS
TN
TE
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TX
12
TA
TL
TO
TP
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TO
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65
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53
ZA
33
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Phone
*
System Administrator
This is the person who will be setting up and administering
your Central Management Account and devices.
System Administrator
*
First
Last
This is the person who will be setting up and administering
your Central Management Account and devices.
Title
Sys Admin Email
*
Phone
*
Backup Contact
*
First
Last
Backup Contact Email
*
Backup Contact Phone
*
Approval
By signing this form, you confirm that all of the above information is correct. Incorrect information will result in delays.
License Agreement
*
I have read and agree to the license agreement located at
https://datalocker.com/eula
E-Signature (Type your name)
*
First Name
*
Last Name
*
Title
*
If a sys admin is completing this form, please send a copy of this email to your procurement specialist to submit along with your first order to your preferred reseller.
Check out our
privacy policy
for how we protect and manage your data.
Hidden
SC Account Number
Name
This field is for validation purposes and should be left unchanged.