Partner Deal Registration

Reseller Information
Reseller Name*
Account Manager Name*
First Last
Account Manager Telephone*
Account Manager Email*
Customer Information
District or School Name*
Point of Contact Name*
First Last
Point of Contact Phone*
Point of Contact Email*
District or School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Customer Website*
Opportunity Information
Product Interest*
- TIPWeb-IM
- TIPWeb-IT
- RFID
- Mobile Device Repair and Protection
- GetHelp
Description of Opportunity*
Estimated Project Award Date*
Date Format: MM slash DD slash YYYY
Estimated Customer Budget*
Competitive Information*

Reseller Information