Project Registration Form

Please complete the following form to submit your project for registration. Please read the Terms and Conditions first.
fields in *bold are required
Distributor - Reseller Info:
*Salesperson Name *Organization
*Phone *Email
*Address *City
*State (province) Zip
Country
*End-user Info:
Main Contact Person *Organization
Phone Email
Address City
*State (province) Zip
Country
Installation Location (If different from Address)
Purchase Type Single purchaseStaged roll-out
Anticipated close date:
(MM/DD/YYYY)
Reseller/Installer/Contractor (If applicable):
Main contact person Organization
Phone Email
State (province)
Rep Firm Information (If applicable):
Rep contact person Rep firm
Rep phone Rep email
Proposed Minuteman Products:
ModelTotal QuantityPer Order Quantity
1.
2.
3.
Competitive Products:
ModelTotal QuantityPrice
1.
2.
3.
I agree to abide by the terms of the Project Registration Agreement
I understand that submission of this Project Registration Form does not guarantee my registration of this project until it has been confirmed by Minuteman. Read full terms
To SUBMIT, you must answer this question
What is the first word in this question?

We regret that we must resort to asking silly trivia questions for you to submit a form. Spammers have forced us to defend ourselves and we hope that this is more convenient than those hard-to-read distorted word methods on other sites.