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Cencon Customer Information Form

To help Kaba Mas keep your company informed of updates to the product, to know who to reach in regards to system recommendations, and to understand how your company uses or intends to use Cencon, we ask that you complete the following form as best as you are able. All fields are required. You will need to get information from someone with access to the Cencon software. NOTE: Please have your IT Department review the Cencon 4 System Requirements document before beginning to complete the form.


 Company Information

Company Name *
Address *
City *
State/Province *
Zip/Postal Code *
Country *

 Main Contact for Cencon/ATM Operations (Security Mgr., General Mgr., etc.)

Contact (First & Last Name) *
Title *
Phone *
Email *

 Other Contact (Back-up contact for tech support or sales)

Contact (First & Last Name) *
Title *
Phone *
Email *

 Software (Open software. Check for vers. number in Help About.)

Cencon Version *
CenTran Version *
CenBank Version *
Microsoft SQL Server Version *

 Minimum Requirements Agreement

Check box to indicate the appropriate Min. Req. document has been read and agreed to. *
First & Last Name *

 Cencon Use

Total number of Cencon locks *
Planned Cencon 4 start date * (mm/dd/yyyy)
Number locks used in FLM mode *
Number keys used in FLM mode *
Number locks used in Route mode *
Number keys used in Route mode *
Number locks used in Bank mode *
Number keys used in Bank mode *
Number of branches in country *
Number of Cencon PC Clients *

 Purchase Information

Company name with whom your software order was submitted *
Sales Contact name at that company *

 Lock & Software Education

Approximate date received (or plan to receive) Cencon training from Kaba instructor * (if not yet scheduled, enter 00/00/0000)
Name of Kaba instructor *
Location of training *

 Optional

Comments/Notes