Printek Deal Registration RESELLER INFORMATION Reseller * Sales Rep * First Name Last Name Phone * (###) ### #### Email * END USER INFORMATION End User Account Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country End User Contact * First Name Last Name Job Title * End User Phone * (###) ### #### End User Email * OPPORTUNITY INFORMATION Opportunity Name * Estimated Close Date * MM DD YYYY Size of Opportunity * Thank you!
