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New Account Request


Please enter the customer details that will require rebate support




Step 1: Customer Information

Customer Name*
Primary Competitor**
Competitor Name (Other)
Customer Type**
Requested Support Level*
Effective Date*
Currency*
Business Justification
*
Step 2: Account Size Calculation
Equipment Type
*
Quantity*
Maintenance Per Year*
Annual Amount
$0.00
ADD ANOTHER CALCULATION

Total Annual Amount
$0.00

Step 3: Add Customer Contact
Type*
First Name*
Last Name*
Job Title*
Phone Number*
Email Address
ADD ANOTHER CONTACT


Step 4: Add Customer Location

Drag .csv file here or Browse

Or


Download Location Template
Please use United States for the USA and Canada for Canada in the Import File to avoid any import error
Legal Account Name*
Customer ID
Address*
City*
State/Province*
Zip / Postal Code*
Inventory/ShipDirect *
Country*
ADD ANOTHER LOCATION



Step 5: Additional Delivery Partner Locations
Delivery Partner

.

Step 6: Upload Parts
Upload Parts

Drag .csv file here or Browse

Or

Download Parts Template
Step 7: Upload Supporting Documents
Upload Supporting Documents (e.g. Switch Letters)

Drag .pdf, .jpeg, .jpg or .png file here or Browse

Or