Registered Opportunities Program Checklist

Step 1: Representative Information

Name:
Firm:

Step 2: Reseller Information

Company:
Contact:
Address:
City:
State:
Zip:
Telephone:
E-mail:

Step 3: Customer Information

Company:
Contact:
Address:
City:
State:
Zip:
Telephone:
E-mail:

Step 4: Opportunity Information

Part No.:
Quantity:
Expected Purchase Date:

Additional Part Number (Optional)

Part No.:
Quantity:
Expected Purchase Date:

Additional Part Number (Optional)

Part No. :
Quantity:
Expected Purchase Date:

Step 5: Competitor Information

Competitor Name:
Competitor Part No.:
Competitor Price:

Step 6: Notes

Notes:

Step 7: Submit