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Name reseller Your name (contact person reseller)

Please fill in the information related to the end customer (opportunity).

Salutation First Name* Last Name* Title Company* Street Address* City* Zip or Postal Code Country/Region* Phone* Mobile Phone Email* Website Number of Workstations* Number of Servers* Number of Employees Existing Contract Expires In Existing Contract Expiry Date (M/d/yyyy) Product/Solution of Interest Description*

Please fill in your strategy / activity plan how to work on this opportunity.

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