Request for Time Clock Sales Order

Request for Time Clock Sales Order

Please fill in all the required fields. Each timeclock order that will be shipped to a different location or EIN will need its own form.

Wurk Account Executive Name*

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Wurk Customer Success Manager Name*

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Customer Name*

This can be your Wurk short name or your company legal name

Legal Entity Name (EIN Name/Tax ID Name)*

This is the Tax ID/EIN Name that the timeclock should be billed under

Sales Order Signer*

This is the email of the person responsible for signing the timeclock Sales order

Name of Receiver*

This is the name of the person responsible for receiving the timeclock package

Receiver Phone Number*

Phone

Receiver Email*

Name of Location*

Example "Humbolt Cultivation"

Shipping Address*

Shipping City*

Shipping State*

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Shipping Zip Code*

Timeclock Order Type*

Select

Quantity of Clocks*

Badge*

Select

Badge Type

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Quantity of Badges*

You may order any quantity

Biometric*

If a biometric finger scanner is not purchased you will need to purchase badges, unless you only want your employees entering in a code

Select

Quantity of Biometrics*

WIFI Adapter (Purchase Only)

If you do not have a way to connect the timeclock to an ethernet cable, then you will need a WIFI Adapter. This is a $270 one time fee

Select

Quantity of WIFI Adapter

I certify that the information provided on this order form is true and accurate*

Send me a copy of my responses