Registrations Request Log Form
This form was designed to facilitate the most efficient way to collect registration details to allow for a seamless registration process.
User Profile
Customer Profile*
Please select your profile. This allows us to use the correct language term on our engagements.
--Select--
End User
Business Partner
Who's the registration for*
We need to know who the intended registration request is for, to follow the correct internal procedures.
--Select--
Business Partner (own software)
On Behalf of customer
Region*
--Select--
South Africa
International
Country*
Customer Number*
Person logging the request
Base Serial number*
Contact Person*
Who is logging the request
Contact Number*
Contact Email Address*
Person Logging the request
Product Information
Please select the product for which this registration request is for.
What do you need assistance with
--Select--
Upgrade Registration
Annual Renewal Registration
Module Alteration
Site-License
Temp Code
Company Details Update
Name Change
BP Linkage
Pervasive POS
Pervasive CS
Portal Passwords
Other
Please select your products
--Select--
Sage 50(Xpress/Partner)
Sage Payroll
Sage 200 Evolution
Sage Fixed Assets
Pervasive Licenses
Other
Select Type of Registration:
--Select--
Server Pc (network environment)
Site-Users (individual Laptops)
Product Pin\Access Code*
This can be found in the Software Registration Assistant
Are you adding or removing any Add on Modules
Please select the correct option to allow us to facilitate the correct steps to follow.
--Select--
Yes(Adding)
Yes(Removing)
Retaining the same Modules
Please list the modules you are adding or removing*
Please provide the module details. Please note if you are adding any new modules we need the invoice to proceed any further. Use the file upload option to submit the required document.
Site Code*
Product Pin\Access Code*
This can be found in the Software Registration Assistant
Adding or Removing Users
--Select--
Adding
Removing
No Changes
Product Pin\Access Code*
This can be found in the Software Registration Assistant
Are you adding or removing any Add on Modules
Please select the correct option to allow us to facilitate the correct steps to follow.
--Select--
Yes(Adding)
Yes(Removing)
Retaining the same Modules
Please list the modules you are adding or removing*
Please provide the module details. Please note if you are adding any new modules we need the invoice to proceed any further. Use the file upload option to submit the required document.
Product Pin\Access Code*
This can be found in the Software Registration Assistant
Adding or Removing Users
--Select--
Adding
Removing
No Changes
Other*
Please select the product that was not included in the above-provided options.
Legal Write
My Business
My Invoicing
Auditor
Brilliant Docs for Windows
Additional Registration Requirement Info
Please provide additional information to help us resolve your registration request efficiently.
File Attachments
Please attach all supporting documents for your registrations requests
>For any additional purchased modules please attach a proof of purchase invoice.
>For PVSW registrations we need the PVSW form and Invoice attached.
Submit