Rockwell Automation Sales Contact Registration

Register your Prospect Accounts and Contacts

 

As a reseller of ProCalV5 software, please use this form to register your account contacts and leads with Prime Technologies Inc.

 

NOTE: All registration information is strictly confidential and is used only by Prime Technologies, Inc.

Fields with “*” are required fields.

Agent Information

Name of Account Representative*

Company Name*

City

State

Zip

Main Number

Web Address

Main Contact

Email Address *



Customer Information

Name*

Site Address*

Contact Name*

Contact Phone*

Department, Division or Facility*



Additional Customer Contact Names

Name
Title
Telephone
Email
1.
2.
3.
4.
5.


Product Interest, Software & Services



Competitive Analysis



Sales Cycle Information


Encompass Product Partner Americas

 

PTI Address

840 Springdale Drive
Exton, PA 19341, USA

Phone: 484-266-0599
Fax: 484-887-0926
E-mail: rasales@primetechpa.com