Flexera Deal Registration Form

Prospect Company Information

Company

Street Address 1

Street Address 2

Street Address 3

Country

State/Province

City

Zip / Postal Code

Prospect Contact Information

First Name

Last Name

Title

Job Function

Phone

Opportunity Information

Solution Area

Product

Unit of Measure

Quantity

Budget Status

Who is the key decision maker(s)?

Have you engaged a Flexera sales representative? If so, who?

What business problem is the prospect looking to resolve?

What’s the impact if the business problem is not solved?

What’s the proposed solution to the business problem?

By when does the prospect need to solve the business problem?

Why does the prospect need to resolve the business problem by this date?

What are the agreed next steps with the prospect?

Describe the total scope of services required to achieve a successful solution?

Requesting Partner Information

Distributor (if applicable)

Partner

Partner First Name

Partner Last Name

Partner Email

Partner Phone

Partner Street Address

Partner Country

Partner State / Province

Partner City

Partner Zip / Postal Code