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

Wurk Customer Success Manager Name

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

Shipping Zip Code

Timeclock Order Type

Quantity of Clocks

Badge

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

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

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

Send me a copy of my responses