AppManager and BaseManager Web Sign-up Form

AppManager is a cloud-based site management framework. AppManager hosts site management applications such as BaseManager that you can subscribe to. All requests are processed during normal business hours only. New accounts are typically activated within 1 business day of the request. Please call 1-866-294-5847 or email support@baselinesystems.com if you have questions.
Company or Organization Name*
No special characters (commas, apostrophes, periods)
Desired Site Name*
This is usually the name of a property. For example: Heritage High School
Full Name*

First NameLast Name
Work Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
E-mail*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of BaseStation 3200 Controllers on this account*
Actual billing will be based on active controllers on the account
NOTE: BaseStation 3200 controllers come with a FREE 1 year subscription to BaseManager Plus upon activation.
What BaseStation 3200 subscription level are you requesting?*
SubStation SubScription

A SubStation that is networked to a BaseStation 3200 using Cloud Networking (typically using a cell modem) comes with a $100 annual subscription.

Cloud Networking is when you connect to a SubStation using the "IOT Server."

Note: SubStations come with a FREE 1 year subscription upon activation.
Number of SubStations on this account connected to the IOT Server*
Actual billing will be based on active controllers on the account
FlowStation SubScription

A FlowStation that is networked to a BaseStation 3200 using Cloud Networking (typically using a cell modem) comes with a $399 annual subscription.

Cloud Networking is when you connect to a FlowStation using the "IOT Server."

Note: FlowStations come with a FREE 1 year subscription upon activation.
Number of FlowStations on this account*
Actual billing will be based on active controllers on the account
What FlowStation application subscription level are you requesting?*
Number of BaseStation 1000 Controllers on this account*
Actual billing will be based on active controllers on the account
NOTE: BaseStation 1000 controllers come with a FREE 1 year subscription to BaseManager Plus upon activation.
What BaseStation 1000 subscription level are you requesting?*
Future Payment Options*
Future Payment Options*

Check here to have Baseline contact you to arrange automatic payment with a Credit CardCheck here if you want Baseline to send you an invoice when payment is due
Billing E-mail (If different from above)
Notes
Should be Empty: