SmartLink License Activation

Activation requested for:

HOSPITAL INFORMATION

*Mandatory fields

Hospital Name*

City*

Country *

License number to be activated * (it can be found in the invoice sent by Software Team however if your activation is trial please write "Trial License")

Installation ID * (generated by SmartLink during the installation)

N° of ward to be activated* (Insert the total number of departments)

Ward(s) name, followed by the number of beds* (e.g. NICU,3 ICU,7)

Expiration Date (only for trials)

Components to be activated*
SmartPagerEspa 4.4.4Espa XSmartPanelSmartReportMain Alarm StationX-Port

Data Source* (e.g. central station, gateway, other)

YOUR CONTACT INFORMATION

First Name*

Last Name*

Email*

Company Name*

Phone Number

Installation/update on site planned for: (if not provided, Software Team can not guarantee technical support, in case of trouble, during the installation)

Activation requested for:---SmartLink New InstallationSmartLink UpdateSmartLink Trial

Activation requested for: