Application Add QK Kiosk parent digital sign in and out attendance management program to QikKids Child Care Subsidy (CCS) Management software Database

This application is for clients who wish to add QK Kiosk to their database.

Company / Entity Name

Company / Group name *

Street *

Suburb *

State *

Postcode *

Your Details
(Please make sure you have the authority to request this change)

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)

First Name

Last Name

Email Address

Phone Number (Incl. Area Code)

Existing Database Details

Current Database Name *

Support ID of 1 service on database*

Number of Kiosk licenses requested *

Services Ordered *

QK Kiosk (By ticking this box, I accept that I will be charged $345 per Kiosk licence per annum for this service. This will be charged in advance for the number of licenses you order. 1 licence is required per CCMS licensed service.)

Interested in getting Kiosk Hardware? (iPad, Kiosk Stand, Site specific configuration $855 excl. GST)
CLICK HERE to complete a form to arrange your hardware order. Please note this is separate to this Kiosk software order.

Comments

I accept the terms and conditions associated with the use and billing of QK Kiosk* and the terms and conditions of the 30 Day Free Evaluation Opportunity.

Do you already have a Direct Debit arrangement with QK Technologies? *
Yes No

Prove you're not a robot *

Application to Add QK Kiosk to QikKids Database

Company / Entity Name

Your Details (Please make sure you have the authority to request this change)

Secondary Contact Point (Please make sure you have the authority to request this change)

Existing Database Details

Services Ordered *

Your Details
(Please make sure you have the authority to request this change)

Secondary Contact Point
(Please make sure you have the authority to request this change)