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Please use the form below to register for your BackTrack account. Once your application is received, we will review it and contact your office.

BackTrack Online Registration

Personal Information


We need your office's name to complete the sign-up
We need your contact name to complete the sign-up
We need your email address to complete the sign-up The email address is not valid
Chosing an Email Address 

We need your office's phone number to complete the sign-up
We need your office's address to complete the sign-up
We need your office's city to complete the sign-up
We need your office's postal code to complete the sign-up
We need your office's province to complete the sign-up

Applications to Backup


Tracker (includes Charting)
T-Word and Document Management
Imaging

Please list all other applications with their paths (folders) to be backed up. You may need to contact the software vendor to obtain this information. Some third party imaging applications may store the database and images in separate folders.


Our support team will need to connect remotely to install, configure and support our service. Remote access to your file server is required.


Additional Applications:

 I agree to the Subscription Agreement and Pricing.

Please Note: The Bridge Network cannot provide ongoing monitoring of the size of your BackTrack account. Please refer to the BackTrack User Responsibilities guide for details.

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