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REQUEST A CHANGE [Sitemap]

 

Your Name:
Company Name:
Street Address:
P.O. Box:
City:
State or Province:
Zip code or Postal code:
Phone:
Phone Ext:
Fax Number:
Email:
Please check the applicable products: PER/ZIP4
PER/SORT
PER/RDI
Z4 LAT/LON
ZIP/CITY
CPC
SOQ
REPRINT
Please provide a narrative of why this change is being requested:

Complete one or more of the following sections:

We request the following machine serial number change to our software license.


We will discontinue use of the indicated software on iSeries or AS/400 serial number on or about .

We will begin use of the indicated software on iSeries or AS/400 serial number on or about .


Request Temporary Software Password

We request temporary use of the indicated software on iSeries or AS/400 serial number until the following date: .

Request Change of Shipping and/or Billing information

New Shipping Contact:
Contact Name:
Company Name:
Street Address:
P.O. Box:
City:
State or Province:
Zip code or Postal code:
Phone:
Phone Ext:
Fax Number:
Email:

New Billing Contact: (If different than shipping):
Same as Shipping Contact

Your Name:
Company Name:
Street Address:
P.O. Box:
City:
State or Province:
Zip code or Postal code:
Phone:
Phone Ext:
Fax Number:
Email:
 
Security Code:




Print a copy of this page for your records. Fax the printed request to (601)856-9432 or submit your request by clicking on the SUBMIT button.

WorksRight Software, Inc. will contact you with your password(s) and other information as needed.


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