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SUBMIT A LEAD

Simply complete this form, introduce us to your client, and we will do all the rest. Pretty simple, don't you think?

YOU

Salutation

First Name*

Last Name*

Title*

Company*

Street Address 1

Street Address 2

City

State

Zip

Telephone*

Fax

E-mail*

Confirm E-Mail*

YOUR REFERRAL

Salutation

First Name*

Last Name*

Title*

Company*

Street Address 1

Street Address 2

City

State

Zip

Telephone*

Fax

E-mail*

Confirm E-Mail*

Are they the decision maker for this project?

What is your referral's total annual expenditure for telecommunications products and services?

PROJECT INFORMATION

Purchase Time Frame

Areas of Interest

(Select all that apply)

Telecom Expense Management
Voice Services
Data Services
Integrated Services
Data Center
Internet Services
Disaster Recovery
Business Continuity
Fiber Optics
Equipment

Project Description

Finder's Fee Agreement I agree*

Some restrictions apply. See agreement for details

*Required.

Thanks Partner
913-663-3456 telephone
913-273-1131 fax
info@thankspartner.com

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