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Deal Registration

Certes Customer Deal Registration Form

Reseller Company Name(Required)

Today's Date

Reseller Sales Contact Name(Required)

Reseller Key Contact Email(Required)

Preferred Distributor(s)

Customer Company Name(Required)

Customer Address

Customer Key Contact Name(Required)

Customer Key Contact Email(Required)

Country for Installations

Project Name

Please describe the customer requirements? E.g. CF APP, CF SD-WAN

Estimated number of nodes and speeds or end-point devices?

Project Driver (compliancy, auditing, breach of network, etc)

What stage is the opportunity?

Estimated close date of project