Exterity Project Registration Request

To request registration of your opportunity, submit as much information as available.

Once your registration info has been submitted, it will be reviewed by Vitec, and if it’s approved, you will receive confirmation from your Exertis Broadcast Sales Team. Approved registrations will be valid for 90 days.

NOTE that an asterisk * indicates REQUIRED information and must be filled in to submit the request.

"*" indicates required fields

Vendor*

Deal ID

Project Name*

RESELLER INFORMATION

RESELLER Name*

Sales Person Name*

First Last

Phone*

Email*

Reseller State/Province*

END USER INFORMATION

Company Name*

Primary Contact*

First Last

Contact Phone*

Contact Email*

Department

Company URL

Location Address*

City, State Zip*

Technical Contact*

First Last

Tech's Job Title

Tech's Email

Tech's Phone

OPPORTUNITY INFORMATION

Product Name*

Product Quantity

Product Total Dollars

Project Funded

Yes

No

Funded How?

Lead Source*

Reseller campaign , Dist

Expected Close Date

Probability

Decision Maker

USE CASE

Segment

i.e. Production, Post Production, Broadcast, Corporate, IT

Solution

Describe all applications and equipment that are part of the solution

Contingencies

Describe any dependencies and/or contingencies that could impact the sale

Interfaces Required

i.e. Ethernet, USB, ExpressCard, FireWire, eSata

Project Description

CAPTCHA