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 purchase
Staged 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:
Model
Total Quantity
Per Order Quantity
1.
2.
3.
Competitive Products:
Model
Total Quantity
Price
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
