Registration Form

To request a demonstration or to inquire about the MYKIDS Childcare Management Software, please complete this form. Upon receipt of your request, we will contact you by phone to answer any questions you may have and, if required, to schedule a demonstration at a mutally acceptable time.

Your privacy is guaranteed as we do not, under any circumstances, provide your information to third parties or affiliates.

For more information please read our privacy statement.


Name of Organization
Type of Business
Telephone #   Enter as XXX-XXX-XXXX
First Name
Last Name
Position
E-mail
Confirmation of your request will be sent to this e-mail address.
E-mail (re-enter)
Security Code     
For security purposes, please tell us the characters you see in the green rectangle. Your registration will be discarded unless you specify the correct code.

Comments
Please specify if you would like to see a demonstration of our software or would like information only.


Please tell us how you heard about MYKIDS (Check all that apply):

Advertisement in a magazine
Advertisement in an e-Newsletter
At a conference or educational institute
From a colleague
I received information directly from CompuBase
Search on the Web


  

If you experience a problem sending this registration form, please call
(905) 812-9622.



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