Project Registration Form

Please complete the following form to submit your project for registration. Please read the Terms and Conditions first.
fields in *bold are required
Channel Partner Info:
*Salesperson Name *Organization
*Phone *Email
*Address *City
*State (province) *Zip
*Country
*End-user Info:
*Main Contact Person *Organization
*Phone *Email
*Organization Type GovernmentEducationBusiness
Public Bid Number
*Projected Date of Installation:
(MM/DD/YYYY)
Address City
State (province) Zip
Country
Installation Location (If different from Address)
Purchase Type Single purchaseStaged roll-out
Specification Type Current Minuteman specNew Minuteman specCompetitive flip
Application
Minuteman Manufacturer Representative (If applicable):
Representative Name
Reseller/Installer/Contractor (If applicable):
Main contact person Organization
Phone Email
Address City
State (province) Zip
Country
Proposed Minuteman Products:
ModelTotal QuantityPer Order Quantity
1.
2.
3.
4.
5.
Competitive Products:
ModelTotal QuantityPrice
1.
2.
3.
4.
5.
I agree to abide by the terms of the Project Registration Agreement
I understand that submission of this Project Registration Form does not guarantee my registration of this project until it has been confirmed by Minuteman. Read full terms
To SUBMIT, you must answer this question
Type in the word 'boat' backwards starting with the letter t.


We regret that we must resort to asking silly trivia questions for you to submit a form. Spammers have forced us to defend ourselves and we hope that this is more convenient than those hard-to-read distorted word methods on other sites.
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