New Client Onboarding

New Client Onboarding Form

Dear Client,
Thank you very much for choosing Neuron Computers to be your trusted Managed Services Provider for all your IT needs! We are very excited to be of service and look forward to many years of giving you top-notch and cutting-edge service. Please do me a big favor and fill out this onboarding form as complete as you can so that we have all your organization’s details in order to create your account. Thank you so much. Best regards, Kevin Sipma Founder, Chief Technology Officer Neuron Computer Services, LLC

Staff Member Information:

Company Name*

Additional/Secondary Contact(s)

Suite No.

Direct Phone & Ext.*

Primary Contact Name*

Street Address*

City, State, Zip Code*

Primary Contact Email Address*

Parent Company Bill To Information

To whom may we submit invoices to?

Company Name*

Additional/Secondary Contact(s)

Suite No.

Direct Phone & Ext.*

Primary Contact Name*

Street Address*

City, State, Zip Code*

Primary Contact Email Address*

Subsidiary Companies

Please list any subsidiary companies you may have that fall under the umbrella of the parent company to be covered under our Managed Services plans.

Subsidiary #1 Company Name

Additional/Secondary Contact(s)

Suite No.

Direct Phone & Ext.

Primary Contact Name

Street Address

City, State, Zip Code

Primary Contact Email Address

Subsidiary #2 Company Name

Additional/Secondary Contact(s)

Suite No.

Direct Phone & Ext.

Primary Contact Name

Street Address

City, State, Zip Code

Primary Contact Email Address

Subsidiary #3 Company Name

Additional/Secondary Contact(s)

Suite No.

Direct Phone & Ext.

Primary Contact Name

Street Address

City, State, Zip Code

Primary Contact Email Address

Notes (list any notes about subsidiary companies here, or attach documents if you need more space)

Employee/Staff Information

Please list all covered employee/staff members of your organization that use technology. A general rule of thumb is, if they have an email address or device, they should be covered under our Managed Services plans. Duplicate this sheet or attach documents if you need more space.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

Employee Name

Email Address

Direct Phone & Ext.

This field should be left blank