Application Form – ClickGen

ClickGen Application Form

Company Name*

Your Name*

First Last

Position held at company:*

Business Address

Street Address Address Line 2 City ZIP Code

Contact Details

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address*

Email Address Confirm Email Address

Your Phone*

Best Time to Call You*

Requirements

Please let us know as much detail as possible.

How Many Locations are you interested in activating the ClickGen WiFi Experience?

Do you have an existing WiFi Access Point/s?

Yes

I am unsure

Total number of Access Points to be activated:

Brand / Type of Access Points installed

Would you like us to quote you on installing an access point?

Yes Please

No Thanks

Already in progress

Any additional comments around Access Points:

Software Integrations

We can integrate a white Label Software Integration, however additional fees would apply. We do have other integrations available along with potentially offering more custom integrations in the future. Please get in touch with your sales representative to discuss further.

D you want a white label software integration with Social Logins?

Yes

Maybe later

Please select social login options you want to offer:

(Once-off costs could apply)

Name and Email

Facebook Login

X Login (Twitter)

LinkedIn Login

Which of the following software integrations are you interested in?

(Once-off costs could apply)

Mailchimp - Opt in users details are published to your Mailchimp account

Automation Email - Setup welcome email with a custom design template

Additional Automation Email - Consultation Required to discuss further requirements.

Full name*

Signature*

Terms & Conditions

This application form expresses your interest in ClickGen and a Sales Representative will be in contact discuss your application and provide you with an estimate detailing any requirements you may have. By pressing submit you agree to our Privacy Policy and Terms and Conditions which can be found on our website or in the links provided.

Consent*

I agree to the privacy policy and terms & conditions.