Art for a digital age
Referral customer registration form
Referral Customer Registration Form
Reseller Information
Reseller Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Email
*
Prospect (End User) Information
Company/end user Name
Address 1
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone 1
(###)
###
####
Email
Description of the solution/ deal
Deal type
Content
Tool
Customer type
Hospitality
Commercial
Collector
High End Residential
Deal Name
New deal/Existing customer
Deal value
$
Estimated close date
MM
DD
YYYY
Description of solution being proposed
Products to be part of registered deal
Part number
Quantity
* All deals are registered for 90 days. After 90 days, deals may be renewed with additional information or will expire. Note: Please make sure you enter the date of your first meeting and target close date. * Niio Channel manager may grant a 30-day extension based on the deal’s progress. * Niio will be the sole and final arbiter of what constitutes a valid registration. * Opportunities are eligible for registration, not entire accounts. Therefore, it is acceptable to register multiple deals or project within the same account.
Thank you!
(*) Required
Niio Art
