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BRIVO Webservice Account Request:
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Please complete and submit this form in order to request a BRIVO Webservice Account.
What are the minimum requirements for operating the BRIVO ACS control panel?


   
   
    Last Name:
    User Name:
   
    Security Question:
    Security Answer:

Main Contact:
First Name:  Last Name:
Address 1:   Address 2:
City:    State: Zip:
Phone: Extension:  Fax: Extension: 

In order to install and commission your BRIVO system, we will require the following information:
Static IP Settings:Socks5 Proxy Server:
IP Address: Address:
Netmask: Port:
Gateway: Username:
Primary DNS: Password:
Secondary DNS:
Tertiary DNS: Industry:

Once your account is created, you will receive a confirmation email at the address that you have provided.


Please type the color of the second character:

Security Code:


 
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