Astricloud Customer Request Astricloud Client Request Use this form to submit a request for support or request a quote RequestIDRequest Date* Requester Details* Name Department Mobile Number Request Priority*Low - On next routine visit to my officeMid - Within 5 working DaysUrgent - Within 24 Hours *Important: For Urgent Request Additional charges may apply depending on our onsite visitation schedule and contract terms. Company NameEmail Request Type*I need a Quotation from Sales DepartmentI need Technical SupportRemove Resigned UserCreate New Staff ExtensionModify Application/ Programming/New ReportSupport IssueProblem Description*Please describe your problem clearly so we can assist.Screenshot/Files Upload Drop files here or Accepted file types: pdf, doc, docx, jpg, png, gif. To help us please include any screenshot of the problem. To take screenshots press CTRL-P and open a new word document and CTRL-P to paste.Appointment Date Please provide Date when engineer can come and fix this issueTime* : HH MM AM PM Quotation RequestDescribe what you need* Needed By* When do you need this items delivered byRemove Resigned UserName and ExtensionPut each name in one line for more then 1 removalItems to remove* Delete Extension Remove Access to System Special Instruction (If Any)Please provide any additional system that needs to be updated due to this staff resignation if anyNew Staff ProvisioningWe require at least 48 Hours notice for any New Staff Request. New Staff Details* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix Name Phone Department Designation Desired Extension NumberSpecial Instruction of Applications for this user*MSOffice, Antivirus, PDF reader and Winzip will be installed by default. If there is any specialized applications needed please list it here and ensure license and CD is available for installation.Staff Joining Date* Programming RequestSystem NameChanges Needed by* Detailed RequestScreenshots Drop files here or Accepted file types: pdf, doc, zip, png, jpg, xls. PhoneThis field is for validation purposes and should be left unchanged. This form is provided as is and use of this form is in accordance with our terms of service