Partnerships Intake Form

Partnerships Intake Form

Submitter's Email*

Potential Partner*

Website URL*

Contact Name (First Last)

Please provide the contact information at the potential partner (if known.)

Contact Job Title

Please provide the contact’s job title at the potential partner (if known.)

Contact Telephone Number

Please provide the contact’s telephone number at the potential partner (if known.)

Phone

Contact Email

Please provide the contact’s email at the potential partner (if known.)

Initial Use Case/Opportunity*

Provide a summary of the Initial use case/opportunity (solutions)

Customers*

Which customer(s) are asking for the integration/partnership?

Time sensitivity*

How time sensitive is it to engage this potential partner?

Introduction?*

Can you provide an introduction to the contact person?

Yes

Additional information

Please provide any additional information that would be helpful in assessing this partnership opportunity.

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