Strategic Partners

RBS Lynk Lead Submittal Form

SUBMITTER INFORMATION
Submitters Name:	Submitters Phone:
Submitters Email:

LEAD INFORMATION
*First Name:	*Last Name:

Existing Customer?

Company:

*Phone:

*Address:

*City:

*State/Province: (Abbr.)

*Zip:

*Country:

Store Type:
# Locations:	Reseller Already Notified?

Existing Hardware:

Approximate Age of Hardware:

Existing Software:

Notes: