Organization Name
Country
USA
Canada
United Kingdom
First Name
Last Name
Email
Phone
End User First Name
End User Last Name
End User Email
End User Phone
End User State
INTL
AL
AK
AZ
AR
CA
CZ
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
End User Organization Name
End User Requested In Hands Date
ASAP
Within 30 Days
Within 60 Days
Within 90 Days
6 Months
6 Months +
Unknown
End User Preferred Power Supply
USB Power
Standard
A Mix
Unsure
End User Preferred Mounting Option
Wall Mount
Rollers
Stands
A Mix
Unsure
How is your customer planning to use the charging solution?
Devices charge overnight in school/org
Devices charged at home and need an extra charge during the day
Charging/storage needed for loaner/repair devices
More than one use case
Unsure
What grade levels need a charging solution?
Unsure
K-2
Elementary
Middle or Junior High
High School
Higher Education
Other
Make, Model, Size of Devices
Expected Close Date and Scope of Opportunity
Preferred Qualification Method
Ok for PowerGistics to confirm opportunity scope directly with End User
I prefer to schedule a conference call with PowerGistics and the End User
Preferred Distributor
TD Synnex
Douglas Stewart
Both
I do not want to receive email communication from PowerGistics with exclusive updates on product information, new product launches, special offers, resources and invitations to events.
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