Lead Registration Form Lead Registration Form This form is used by EPIC Connections to collect information needed to register sales leads. Please fill out the form as completely as possible.HiddenLead Registration Date MM slash DD slash YYYY Master Agent Name*Advantage CommunicationsAVANTCarouselFuzeLogMeIn/JivePeakview CommunicationsRingCentralSandler PartnersScansource/IntelisysSimplifyTBITelarusVonageOTHEREnter Master Agent name* Partner Name (First and Last)* Partner Company Name* Partner Title Partner Phone NumberPartner Email Address* Partner Street Address Partner City Partner State Partner Zip Code Customer Contact First and Last Name* Customer Company Name* Customer Title Customer Phone Number*Customer Email Address* Customer Street Address* Customer City* Customer State* Customer Zip Code* # of Contact Center Seats*# of EmployeesCurrent Contact Center Technology Estimated Close Date MM slash DD slash YYYY Service Needed #1Contact Center ConsultingNICE inContact CCaaS ImplementationsProject ManagementAccount ManagementManaged ServicesBPO ServicesOTHER-Please specifyEnter Services Needed Service Needed #2Contact Center ConsultingNICE inContact CCaaS ImplementationsProject ManagementAccount ManagementManaged ServicesBPO ServicesService Needed #3Contact Center ConsultingNICE inContact CCaaS ImplementationsProject ManagementAccount ManagementManaged ServicesBPO ServicesDescription of OpportunityFile Upload Drop files here or Select files Max. file size: 300 MB. Please direct any questions regarding this form to Bill Pieper (firstname.lastname@example.org) or 402-884-4700 x201. Send me a copy of my responses Email address CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Services | Expertise | Resources | Partners | Blog | About | Contact © 2021 EPIC Connections, Inc.