Full-scale Help Desk & Managed Security Program Registration Form

How many computers do you want managed?
The monthly cost is $0.00 per computer.

Computer Details:

How many users do you have?

User Details:

What operating systems are on these computers?
Please note: We do not support MacOS or Linux

Windows 7 Windows 8/8.1 Windows 10 I don't know/not sure

Do you have a dedicated file server?
Servers are not included in the cost of this program.
We will call you to discuss.

Request a Custom Quote

We will need to create a custom quote for you. Please fill out your contact details below and click Submit and we will get back to you within 24 hours.

First Name:

Last Name:

Email:

Payment Details

Contact Details

Company Name:

First Name:

Last Name:

Address 1:

Address 2:

City:

Postal Code:

Phone:

Email:

Credit Card Details

We accept:

Card Number:

Name on Card:

Expiry Date:

/

CVV:

Agreement for the Secured Online Storage of Payment Card Details

In order to continue, I understand that I will need to allow MicroAge Peterborough to securely store my payment card details with a reputable third party payment service. The details of this storage are as follows:

MicroAge Peterborough will never charge your card without your express consent
MicroAge Peterborough only stores of the minumum legally required data to process subsequent transactions (card number, expiration date, name on card)
My payment card details are always transmitted securely using the latest TLS protocols and strongest possible encryption methods
My payment card details are never shared with unauthorized third parties
The first successful payment using my credit card details on this form, as well as confirming agreement to these terms serves as authorization for the storage of my credit card details

I agree to the Terms and Conditions, and understand that my card details will be securely stored and will be charged $### per month (+ HST) until I cancel my service with Microage Peterborough

Registration Form: Full-scale Help Desk & Managed Security Program

Registration Form

Request a Custom Quote

You have selected # computers to be managed. Your monthly cost will be $###.## plus HST. You may cancel your subscription at any time with 30 days written notice.

Payment Details

Contact Details

Credit Card Details

Agreement for the Secured Online Storage of Payment Card Details

You have selected # computers to be managed.
Your monthly cost will be $###.## plus HST.
You may cancel your subscription at any time with 30 days written notice.