application Add QKKiosk to QikKids Database

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

WISH to order KIOSK hardware PACKAGE AT $855 excl. GST? If yes, click here to complete a form to ARRANGE YOUR ORDER

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 a Kiosk Hardware Package $855 excl. GST?
CLICK HERE to complete a form to arrange your 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