JSS Pricing and Order | FORM Packages and More Company Contact InformationCompany Name* Corporate or Entity Name Authorized Agent Name* First Last Billing Address* Street Address City State / Province / Region ZIP / Postal Code Email Address for Authorized Agent* Enter Email Confirm Email Business Telephone Number*Business FAX number*Mobile Phone NumberJSS Packages and Service LevelsWe prefer to brand each SMS system in the following construct: WWW.___________SAFETY.COM* Please provide your ideal URL name here.JSS Package Pricing* Basic system with no custom branding, basic design and layout. Full SMS (Safety Management System) functionality and features (5 core courses OSHA, Monthly Refresher, On-Boarding and Tool Boxes, Forms functionality to include Pre-Boarding and Mid-Boarding tools). Enhanced-Basic system with full features PLUS light branding (Your company logo shared with JSS basic branding) and additional features to include Text Messaging, Electronic Signature tools, added user request tools for simplified work flow solutions and multi admin user access. Premium-Enhanced system full features PLUS custom branding to match corporate site look with Customized OSHA Compliant Application and Customized On-Boarding tools to include: Electronic Signature, Work Flow Approval, and electronic Test for a Company Specific On-Boarding program. Renewal Agreement only, See new service level. Total $0.00 Managed Monthly Service Level* $100.00 BASIC MONTHLY SUPPORT includes: hosting, licensing, updates, back-up and 24 hour monitoring. $150.00 ENHANCED MONTHLY SUPPORT includes basic support plus: SMS change order requests, custom video processing (send us your videos,we will brand them and upload/code them to your system) and hosting, custom programming forms and courses. Custom support included (2 hours per month). $200.00 PREMIUM MONTHLY SUPPORT includes Basic and Enhanced features PLUS Forms and E-Signature support and customization as well as access to additional resources and new features as they are developed and deployed in a BETA environment. Custom support included (additional 2 hours per month). Please let us know how you would prefer to make payment when the time comes.* Check Credit Card Fine print and InstructionsBy Clicking the "SUBMIT" Button below, you will automatically be sent a document in an email with all of the specific details for review. This will also request an electronic signature. This email may go to your Junk Email or Spam Inbox, and the document will automatically re-send signature requests for e pre-determined amount of time. By clicking "SUBMIT" you are not obligating yourself to anything at this time. You will need to review the "Agreement for Services" and digitally sign it before you are obligated to anything.* I understand that I will be sent a request for electronic document signature, and that I should be on the look out in my Spam or Junk Email Inbox Signature