patchmypc.methodportal.com Open in urlscan Pro
54.193.62.140  Public Scan

Submitted URL: https://miurl.cc/LaV2zqLmI
Effective URL: https://patchmypc.methodportal.com/apps/da0aab85-75c3-4984-80ff-089f17e550e5
Submission: On January 08 via manual from US — Scanned from DE

Form analysis 0 forms found in the DOM

Text Content

Home
Transactions
Estimates
Invoices
Manage Contacts
JH
Sign Out



SectionNav

Back


SectionTitle
Icon


RENEWAL QUOTE REQUEST FOR OCHSNER HEALTH

SectionTopBorder

SectionDetail
SectionCurrent
Current Subscription Level

Current Device Count

Section New Is Sub Customer

ResellerMessage

SectionRequested
Requested Subscription Level

Requested Device Count*

Duration

Requested By (Email)*

Section

Invoicing Email*





SectionComment&Tag
Any additional comments / questions?

SectionTag
Education


Government


Nonprofit


SectionIsTaxExempt

Tax Exempt?

Check for "Yes"


SectionAddNewResellerContact
Reseller Contact for Renewal Quote


Add New Reseller Contact

SectionAddNewResellerContactNew
SectionNames
First Name

Last Name

SectionEmail
Email

SectionNewBillingFields

Update / Confirm Billing Address

SectionBillingFields
SectionMessage


Billing Address




SectionCountryZipStateCity
Country

City

State/Province

Zip/Postal Code


 Save Address Information

SectionDirectCustomer/Lead
fncSectionDirectCustomerLead
SectionBottomBorder

Section Bottom Button
Upload Tax Exemption Certificate
Submit Quote Request
Sectiontest
EntityID

RecordID*

ParentFullName_RecordID

Name

Set Active ID
fncCraftRenewalRequestHeader
Section MSP Functions
fncValidateMSP
fncCountMSPSubcustomer

Submit & Back Subcustomer

Submit & Back MSP
SectionMSPCriteria
Count Of MSP Subcsutomer

PMPCCompanyTypeMSPSubcustomer

SectionHiddenEntityFields
ShipAddressCountry

isReseller

fncUpdateSpecialDiscountType
SectionCommonFunction
fncValidate
fncCreateInvoicingContact
fncDiscountLogic
fncResetScreenValues
fncChangeEmailSubject
fncAddNewResellerContact
fncGetBillingState
fncNonCustomer
fncMissingBillingAddress
fncUpdateAddress
fncEnableInputFields
fncRetrieveItem

ItemIDPlaceholder

IsMinimumPlaceholder

HiddenFields

EstimateIDPlaceholder

CompanyName

ParentFullName

TagList
Nonprofit, Welcome Video, Tax ExemptNonprofit

Welcome Video

Tax Exempt


isEducationCustomer


EmailSubjectPlaceholder


Education

Nonprofit

Government
PMPCAssignedReseller

Submit Quote Request
fncAssociateResellerContact



HAVE A QUESTION? CONTACT US!

sales@patchmypc.com