Account Modification Request

Account Modification Request

Complete this form to request a change in sensitive and embedded information. Changes to the current store name, store number and login code require manual interaction in order to migrate all billing and database information effectively. Any changes to this information will incur a fee for the time associated with the migration. A quote will be provided that will require approval from you before any work is commenced.
ClickPOS Company Login Code*
Company Name*
Authorised Contact Details
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Position/Role*
Modification
Modification Required*

Branch RenameBranch RenumberLogin Code Rename
Current Branch Name
New Branch Name
Current Branch Number
New Branch Number
Current Login Code
New Login Code
Disclaimer

By clicking proceed, you agree that you have the authority to make the above modifications to sensitive account information. In the event, we cannot align you with your company login code both you, and an administrative representative from the above-listed company will be contacted for validation in order to proceed with this request.
Please verify that you are human*
Should be Empty:

Authorised Contact Details