Partner Registration Form

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Contract Holder Code(Required)

Company Legal Name(Required)

This is the name we will use in all official correspondence.

Company "Common" Name(Required)

This is the name we will use in lists, your profile in RFP matching results, and other informal locations.

Company Homepage URL(Required)

Years in Business(Required)

Pricing Package(Required)

Gladiator – $1000

Champion – $2500

Emperor – $5000

Primary Contact Name(Required)

First Last

This person will be our main business contact, and will receive the invitations from our system when you are chosen for an RFP.

Primary Contact Email Address(Required)

Email Address Confirm Email Address

Primary Contact Phone(Required)

Escalation Contact Name(Required)

First Last

This person will be our main business contact, and will receive the invitations from our system when you are chosen for an RFP.

Escalation Contact Email Address(Required)

Email Address Confirm Email Address

Escalation Contact Phone(Required)