Westcon Deal Opportunity Registration Form

Please complete this form and provide us with as much detail as possible. One of our team members will contact you within 24 hours to review and discuss your opportunity.

For immediate assistance, please contact:

State & Local Government, Healthcare, Education
Ron Sheps
Director, Vertical Solutions, Westcon Group
888-612-7331

Federal Government
Stu Schwartzreich
Director, Vertical Solutions Westcon Group
800 996 7035

 
Reseller Partner Information
First Name: *
Last Name: *
Company: *
Job Title: *
Address 1: *
Address 2:
City: *
State:
Postal Code: *
Phone: *
E-mail: *
Customer Prospect Information
Agency Name: *
Location: *
Address 1: *
Address 2:
City: *
State:
Postal Code: *
Opportunity Description: *
Opportunity Details:
Has budget been allocated?* Yes     No
Projected revenue:*
Is this an existing or new project for your company?* Existing     New
What type of opportunity is this?* Federal
State/Local
Healthcare
Education

Other (please specify):
Have you determined if this project is going to be allocated under the new American Recovery and Reinvestment Act (ARRA)?* Yes, funded under ARRA
No, not funded under ARRA
Areas in which Weston can assist you (select all that apply): Pre-Sales
Professional Services
Technical_Support
Financial_Services
Staging & Integration Services
Post Sales

Other (please specify):