NIKSUN® - Opportunity Registration

To register an opportunity, please provide the following information. A NIKSUN representative will contact you shortly. Fields marked by an ‘*’ are mandatory.

Partner Information

* Partner Company Name

* Partner Sales Manager

* Partner Phone

* Partner E-mail

* Partner Sales Engineer

* NIKSUN Account Manager

End Customer Information

* End Customer Account Name

Contact Name

E-mail

Telephone/Fax

City

State

* Country

Zip or Postal Code

Opportunity Information

* Opportunity Name

Opportunity ID (if known)

Expected Close Date

Expected Ship Date

* Current Status of Opportunity

Opportunity Description

Requestor Comment

Please attach a Quote

Competitive Information (if known)

Competitors

Part Numbers

Pricing

Comments

NIKSUN will use the information you provide on this form for the purpose you provided it , and to periodically provide updates and marketing. By selecting the "Opt-In" box below, you agree that we may process your information in accordance with our privacy policy found on our website. You can change your mind at any time by clicking the unsubscribe link in the footer of any emails you receive from us, or by contacting us at unsubscribe@niksun.com.

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