ITRAK 365 Essentials Project Initiation Form

ITRAK 365 ESSENTIALS

INITIATION FORM
Get ready to revolutionize the way your organization manages EHS processes with ITRAK 365 Essentials, the ultimate Environmental, Health and Safety Software solution. Our out-of-the-box, ready-to-use software is designed to leverage your existing Microsoft tools, making it easy for you to connect with on-site field workers and monitor processes and collaborate in real-time.

Our industry and standards-based workflow, processes, and reporting controls ensure that you can easily manage 6 of our most common out-of-the-box EHS processes:
- Incident/Near Miss
- Vehicle Inspection
- Facility Inspection
- Safety Meetings
- Hazard ID/Safety Observation
- Field Level Hazard Assessment (FLHA)
As an affordable solution and simple entry point, ITRAK 365 Essentials is the perfect digital transformation tool for companies of all sizes. With our Power BI Reporting and targeted notifications, you can see your real-time field data translated into reportable Power BI dashboards.
BEGIN YOUR DIGITAL TRANSFORMATION
Primary Contact Information

This will be the contact who receives next steps for setup. As the primary contact, you will be responsible for handling all support inquiries from Operators and serving as the main liaison between your team and the ITRAK 365 Team. Please direct all support requests through you. You will also provide a list of Employees and Assets, and the ITRAK 365 Support representative will coordinate touchpoints through you.
Name*

First NameLast Name
Job Title*
Email*
example@example.com
Phone Number*
Preferred contact method*
Company Information
Company Name*
What is your estimated number of users?*
Industry*
When would you like to get started with ITRAK Essentials?*

MonthDayYear
Date
Payment
The engagement itself involves just one upfront financial commitment from you:

The cloud fee for a max 6-month term, totaling $6,000. Rather than figuring out a bunch of licensing we have included the necessary Microsoft services together for you into one monthly fee. For $1,000 per month, we give you user licenses along with the core ITRAK 365 Power App, our native Android and iOS Apps and a full suite of Power BI templates for reporting.

You also have the option to add-on configuration and training service packages to complement your ITRAK 365 Essentials offer.
At any time, the 6-month term can be shortened with the remaining fees going towards your transition!
I will be purchasing:*

ITRAK 365 Essentials (no add-on services): $6,000ITRAK 365 Essentials with Essential Launch add-on service: $9,000ITRAK 365 Essentials with Essential Enhanced Configuration add-on service: $11,500ITRAK 365 Essentials with Essential Advanced Build add-on service: $16,500
Billing Information

Upon submission of this form, an invoice will be generated and sent for the fees indicated above. Fees are invoiced upfront for the term.
Company Billing Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email to receive invoices: *
example@example.com
Any additional billing information:
Legal Stuff
We tried to keep this short but as you can expect, we need to protect our intellectual property and ensure we do our best to be clear with you about how the software will be used. We don’t think you’ll find anything scary in here, but please look it over and contact us if you have any questions.

Below you will find 2 agreements:

1. ITRAK 365 Essentials Software Terms and Conditions - Software access and usage rights

2. ITRAK 365 Essentials Professional Services Agreement - Services delivery for add-ons
Initials*
Please verify that you are human*
Should be Empty:

ITRAK 365 ESSENTIALS

BEGIN YOUR DIGITAL TRANSFORMATION

Primary Contact Information

Company Information

Payment

Billing Information

Legal Stuff