TierPoint Referral

With the submission of this referral, you will be assigned to rep. The assigned rep is expected to conduct an internal call with you prior to contacting the referred prospect.

Referral Type and Assignment:

Who should be assigned the referral…

Referral Type*
Are you working with a rep from this company?*
What is their name?*

Referring Rep’s Information:

Tell us about yourself…

First Name*
last Name*
Your Email*
Your Phone Number*
Your Company*
Your Position*
Your Employee Id
Your Market Region : City*
Your Market Region : State*
Your Manager*

Channel/Referral Partner Info:

Is this a Partner Prospect/Customer?*
Company Name

Referred Company Information:

What are the details on the business you are referring…

Referred Company Name*
Customer Account Number: (if existing customer)
Main Phone Number*
Zip Code*
Contact Name*
Contact Phone Number*
Contact Title
Contact Email Address*
Number of Employees*

Additional Notes:

Any other detailes we missed…

Are you sharing/splitting this referral with someone from your company?*:
What is their name?:
What is their Employee Id?:
Description of Referral*

Referral Partner provided opportunities are not commissionable within the Data Center/Cloud Partner agreement