In order to order and register Checkpoint service complete following informations:
*All the fields marked with a red asterisk (*) need to be filled before submitting the registration form.


A. Site Address - complete End Customer Site information with correct site location

note that address is a site where Checkpoint will send new box in case of failure. Therefore this must be the address where the unit(s) is installed:

Street* : 
Suite* : 
City* : 
State   : 
Postal Code* : 
Country* : 

B. Site Contact

Company* : 
First Name* : 
Last Name* : 
Phone* : 
Email* : 

C. Product information*

Complete the serial numbers of hardware covered by the service agreement:

1. Name   :    CK   : 
2. Name   :    CK   : 
3. Name   :    CK   : 
4. Name   :    CK   : 

I confirm the appliances above are working : 

Choose service* : 

Descriptions of services: (PDF), http://www.checkpoint.com/services/index.html

Certificate Key : 
Mac address : 

D. Reseller Contact

Company* : 
First Name* : 
Last Name* : 
Phone* : 
Email* : 
Customer PO number   : 


          

When you have completed the form above, please send it by clicking the “submit” button.