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Client Profile and Change Form

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					SUNGARD PUBLIC SECTOR


                               CLIENT PROFILE FOR SUNGARD PUBLIC SECTOR
                                      REMOTE SUPPORT CONNECTION

ABOUT THIS FORM:
SunGard Public Sector clients are asked to provide profile data for our records as we rollout a new remote
network access solution (Enexity SecureLink). Please also use this form to update us with any changes to
your client profile data.

CLIENT PROFILE DATA
Please provide us with the following general information about your organization:

                                Client Name:
                          Email Address(es)
(for system notifications relating to SunGard’s
                       remote network access):



PRIMARY TECHNICAL CONTACT INFORMATION
Please provide us with contact information for the primary technical resource at your organization that is
responsible for remote network access to your site from SunGard Public Sector.

                    Technical Contact Name:
        Technical Contact Phone Number:
        Technical Contact Email Address:


AUTHORIZATION OF COMPLETION
As the representative of your company providing the above information, please sign and date below.
           Name:
       Signature:
            Date:


WHERE TO SEND THIS FORM
Please send a copy of the completed form to Jacki Oberlander:

                       Email: jacki.oberlander@sungardps.com
                       Fax: (610) 332-1966

Once your completed form has been received, your designated primary technical resource will be
contacted by a SunGard Public Sector technician to set up the SecureLink connection. In an hour or less,
we will assist with the set up and provide training on all the features of the SecureLink software. Note
that due to the large number of Customers, we will be scheduling on a first come first serve basis and will
be contacting your Technical resource in the next few months.




DISTRIBUTION: CLIENT                                                       LAST UPDATED: 2/14/12

				
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