Pervidi for UMD Customers

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Home
About Us
Solutions
Pricing
Why Pervidi
Clients
Blog
Contact

New Customer Sign-up form:

124

Form completed by (Work Email) *

Must be authorized UMD contact person.

Customer Contact Name *

First

Last

Customer Address (Address, City, State, Zip) *

Customer Work Email *

Customer Telephone number *

Which Product customer would like to purchase? *

Single User (Startup)
Up to 5 Users
Up to 15 Users
15+ Users

Includes: unlimited support calls and emails for 1 user; minor adjustment to reports; 1 hour online training; automatic email notifications (triggers). Excludes custom processes / custom checklists.

Additional Items? *

Custom Checklist
Additional Online Training
Custom Process
Other

Comments or Questions

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