New inContact Form - EPIC Connections

NICE inContact Sales Rep Information

Sales Rep's Name*

Sales Rep's Email*

Is this quote on behalf of an inContact partner?

Other Partner

Customer's Company*

Website

Expected Close Date*

Expected 'Go Live' Date*

Number of Agents*

inContact Channels - Implemented by EPIC*

(Check all that apply)

inContact Channels - Implemented by NICE inContact

SMS is only implemented by NICE inContact and must go on the NICE inContact contract.

List of Outbound Services

(Check all that apply)

Which CRM will ProActive XS be using?

Number of Campaigns

List of IVR Services

(Check all that apply)

IVR CRM Integration Services*

(Check all that apply)

List of CRMs

List of CRM Integrations

(Check all that apply)

List the CRM and what the integration will do

List of Other Services

(Check all that apply)

List the additional data points*

Additional Information

Solutions Overview (or other relevant files)

Drop files here or

Name

This field is for validation purposes and should be left unchanged.