Partner Deal Registration - Hayes Software Systems

Reseller Information

Reseller Name*

Account Manager Name*

First Last

Account Manager Telephone*

Account Manager Email*

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*

Product Interest*

Description of Opportunity*

Estimated Project Award Date*

Estimated Customer Budget*

Competitive Information*