Opportunity Registration

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Opportunity Registration

Opportunity/deal registration is designed to reward and protect our partners for opportunities they identify and develop with Optica Technologies.

Requirements

The deal registration form must be filled out completely.
The reseller must select the product and briefly describe the opportunity.
Optica will endeavor to respond to registration requests within 3 business days.
Approved registrations receive the maximum available hardware discount available.
Opportunities are approved for 90 days. Extensions are available upon request by the partner with approval from Optica.
Information exchanged via this program will be treated confidentially.

Requestor Information

Requestor Name*

Requestor Email*

End User

Company*

Address*

City*

State/Province/Region*

Zip Code/Postal Code*

Contact*

Email*

Phone Number*

Equipment*

Brief description of the fault condition*

Reseller Information

Company*

Address*

City*

State/Province/Region*

Zip Code/Postal Code*

Sales Contact Name*

Sales Email Address*

Sales Phone Number*

SE Contact Name*

SE Email Address*

SE Phone Number*