Deal Registration

Partner Deal Registration Form

Lead Contact Information

Name(Required)

Title

Email(Required)

Phone

Lead Company Information

Company(Required)

Employee Count

Please enter a number greater than or equal to 1.

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

CSG services interest(Required)

Select All

Virtual Desktop

Private Cloud

VoIP

IT Security

Purchase Timeframe (Days)

Revenue

Enter the Company’s estimated Annual Revenue

Industry

Select the industry from the Drop-down list that the company is in

Opportunity(Required)

Please enter the information for this opportunity.

Partner Organization

Partner Company

Primary Partner Rep

Please indicate the name of the Account Executive from your partner company that is responsible for this customer opportunity. If you are the AE please fill in your name and email address.

First Last

Phone

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Lead Source

Phone

This field is for validation purposes and should be left unchanged.

Lead Contact Information

Lead Company Information

Partner Organization

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