New Widget Request Form
Name of Requester
First Name
Last Name
Widget type
Location already exists in GRS?
Yes
No
Location name
Navision DA number
eLocation ID
Choose Required Fields
Customer Salutation
First name
Last Name
Address 1
Address 2
City
State
Country
Zip Code
Mobile Number
Vehicle Name
Vehicle Make
Vehicle Color
Licence Plate State
Licence plate number
Receive Marketing Info
Email not required
Show 'save credit card'
Default to 'save'
Show custom field 1
Show custom field 2
Custom field 1 if required
Custom field 2 if required
Specific image to use ?
Yes
No
Image upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Specify Customer Flow
Rate structure
Rows
Regular rate
Daily max
Each #minutes
Rate description
Rate1
Rate2
Rate3
Free registration choices
Rows
Input number
Choose value
Length choice 1
Minutes
Hours
Length choice 2
Minutes
Hours
Length choice 3
Minutes
Hours
Day set up
Rows
Input number
Choose value
Day is starting at
AM
PM
Day is ending at
AM
PM
Licence plate limitation
Rows
Input number
Choose value
Limitation of
Per Day
Per Week
Per Month
Per Year
Provide credentials to access condo widget
Rows
Username
Password
Condo admin1
Condo admin2
Tenant1
Tenant2
Date Requested By
 -
Month
 -
Day
Year
Date
Once you have filled out this form, it will automatically be sent to IT support and we will get back to you if we need additional details. Thank you!
Submit
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