New Account Application

A new account application is required to establish service with one of our Central Management Services
Which Central Management Product*
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

State / Province / Region

ZIP / Postal Code

Country
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.

Company Information

System Administrator

Approval