Information about our client, whom you are trying to gain access TO:Company Name of which you want to access their data(Required)Please enter the name of the company that we're hosting their data/ cloud server, and of which you are asking to gain access to. Who will approve this request?(Required)Name the person who you will be working with (our client's name), who we will contact to approve this request with. First Last Their Email address(Required)The email address of the person who will approve this request. YOUR information:YOUR Name (The person filling in this form)(Required)We will use your name and below Email address to communicate with you further regarding this request. First Last YOUR company name(Required) YOUR Email(Required)This Email will be used by our team to communicate further with you and send further information. YOUR CELL number(Required)This number will be used by our team to send you your initial password via SMS.About your technology:Which device(s) will you be connecting to our client's server/ cloud data from?(Required)Check all that apply please. PC computer running Windows 8.1 or later Mac computer running OSX 14 or later Table (iPad or Android) Cell phone Select AllDo you have a professional IT provider maintain your computer(s) ?(Required) Yes- My above systems are ALL protected and maintained by a 3rd party IT provider Yes- I have an IT person/ company whom I contact when I have an issue or a need No- I do things on my own Other We require a confirmation, and verification, of the following:Please check all that apply. We will need to get screenshots or other proof of those confirmed statements. All the above devices i'll be connecting from, have a valid, up to date Anti Malware protection software All the above devices i'll be connecting from, have the latest operating system updates and security patches I have a password or a pin that is required in order to log in to all of the above devices i'll be connecting from I understand that Gallop Technology Group or our clients will not ask you to transfer funds, reset passwords or approve login to anyone else via Email or text message. Those requests will have to be reported to Gallop Technology Group immediately I understand that Gallop Technology Group will need to connect remotely to any/ all of the above devices and confirm that they are up to date, secured and protected with a password I confirm that if there is any change in the above statements, for as long as I maintain access to Gallop Technology Group's client's data, i will report such change to Gallop Technology Group and their client immediately I agree to never share any login information I will be provided with, with anyone else, including other employees, contractors and even Gallop Technology Group. I understand that my password is unique to me and no one else should know what it is, ever. I understand and approve that I might be required to get a text message to my cell phone, with a one-time code, each time I will connect to the cloud data Select AllSchedule a timeWhen can we schedule time to have one of our engineers connect remotely to confirm that your devices as secured and up to date? If confirmed, we will take this opportunity to help you set up the remote access program(s). The security confirmation process takes about 2-3 minutes per device. The setup of the remote access takes about 5-10 minutes per device. If you only need us to set up one device to connect from, as an example, it'll take about 10-15 minutes to complete, assuming the security check is completed successfully, and depends on the speed of your computer and internet speed. Note that you will be required to give us remote access using our remote support program called AnyDesk (you can read about the security of AnyDesk on www.AnyDesk.com).Please note that this time/ date is just a request, and is NOT confirmed by our team, until you received a confirmation Email for this requested time, from our dispatchers team.Date for our engineer to connect to your device(s)(Required) MM slash DD slash YYYY ONE HOUR WINDOW start time(Required)For the above chose date, please choose the start time of the ONE HOUR window in which our engineer will call you at. Must be between 9 am and 5 pm, M-F, Arizona time. We can't schedule exact time, but do our best, and normally ARE able to make these calls at the beginning of the 1-hour window. Must be between 9 am and 5 pm, M-F, Arizona time. : Minutes AM PM AM/PM If you have any questions or special requests, please note them hereCAPTCHA
