Data File Backup / Remote Data Storage Sign Up Form
Step 1 Please read the service agreement. Click here to view the Service Agreement
Step 2 Fill out the form below and press submit  
Sign Up Form    
Are you a current Trakker/Trak-It Client?
Billing Information (* Required Information)
Company Name *  
Mailing/Billing Address *  
Address 2
City, State  Zip *  ,  
Contact Name *  
Phone Number *    Ext.  
Fax Number
Contact Information
Company Name
Your Name
Title or Position
Phone Number    Ext:
E-Mail Address
Does your company employ or sub contract a Computer Technician?
Computer Technician's Phone Number    Ext:
Emergency Contact Name *  
Emergency Contact Phone Number * Ext:  
Backup process requested
Type(s) of files planned to be backed up
Note:  Please fill in the appropriate information for the type of service that you are signing up for.
Secure Internet FTP Backup
Requested time that the data be stored on the server prior to automatic removal:
    Note:  There will be a nightly backup and a monthly backup done.  If any files are required after they have been deleted we can restore them from an appropriate backup.
Number of users required (if backup by FTP)   Users
Does your company currently have any FTP software? (if backup by FTP)
Internet connection type?
Internet connection speed?
Note:  You will only be billed for the actual space that your files use on the server.  You can decrease this amount by compressing your files and periodic cleaning of the storage area. 
Mail - CD / DVD / MO Drive / Other
Type of Media
If Other please specify:
Length of time you wish to store media at remote location:  
Where would you like your media stored?
Location Receive Retrieval
Bank Vault $10.50/Month $10.00+Shipping
Mini Storage $5.25/Month $10.00+Shipping
Payment Information
How do you wish to be billed? *  
How do you wish to pay? *  
Do you agree with all of the terms and conditions? *      

Multi-Financial Services Co.,Inc. • 2580 Care Drive, Suite 2 • Tallahassee, FL 32308
Telephone: (800) 326-4112