Lead Approval Form

Please complete the below form.

Company Name *

Key Decision Maker Name *

First

Last

Key Decision Maker Title

CU #

Please select one of the below options *

Approve
Deny
More Information Needed

Reason for denial (if applicable)

Do you sell this dealer any other lines, if yes, which ones? *

Annual revenue potential by brand:

Origin Acoustics *

Ambisonic Systems *

Lighting Leaf *

Velodyne Acoustics *

NETGEAR *

Amina *

Is this a GIG Candidate

Yes
No

Additional Notes

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