VPN/Remote Access Request Form

For BlueBird clients on a monthly support plan there is a one-time VPN (Remote Setup) fee of $75 per connection.

*For clients who are not on a monthly support plan the charge is $95. If you would like to learn more about our monthly support plans please contact us at 888.930.9933 or send us an email at consulting@bluebirdinc.com

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Business Name

Name of Authorized Approver

First

Last

For security reasons, our team will check with the authorized approver for your organization before completing this request.

Email of Authorized Approver

Phone Number + extension

Fax Number

Type Of Action Requested

Please let us know if you want to provide remote access to a new user or remove remote access from an existing user.

Remote Access User Information

First

Last

VPN User Phone Number

VPN User's Email Address

Type of Remote Access Needed?

Computer Type

Special Instructions

Please let us know any special instructions you may have for this request.

Support - 888.930.9933

support@bluebirdinc.com

Support - 888.930.9933

support@bluebirdinc.com

VPN/Remote Access Request Form

Head Office

Office Hours

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