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