New Customer / Lead Generation Form (LGF)
Customer Account Sales Representative
Sales Representative E-mail Address:
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example@example.com
Customer Information
Is this a new customer?
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New Customer
Existing Customer
Company Name:
*
Primary Contact:
*
Is Customer Tax Exepmt?
*
Yes
No
Street Address 1:
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Phone Number:
*
Street Address 2:
E-mail Address:
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City
*
State
*
Zip Code
*
Lead Details
Please Provide a Brief Summary of this Opportunity:
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Lead Source? (Example: Referral - Who; Existing Customer; Web Search; Vehicle Wrap; Upsale, etc.)
*
Please select the type of solution you are needing quoted (If you need more than one solution quoted, you will have an opportunity to define that in the next phase of the form)
*
Infrastructure Systems
Computers/Managed Services
Voice Services
Will this opportunity include an Avaya Solution?
Yes
No
Avaya Opp Details
Please Provide a Project Description of the Avaya Solution if You Prefer it to be Different from the "Brief Summary" Above:
What is the Expected Net Revenue on Avaya Product?
*
Please Note any Competitors:
*
Please Define a Date from your Calendar that Contains a Scheduled Event with this Client so that We can Provide Proof of Engagement:
*
Form Submitter Signature
*
Submit
Should be Empty: