Project Registration Request
TPGQ#
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TPGQpdf.
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Integrator company name
*
Contact name
*
Phone Number
*
E-mail
*
Distributor
*
Please Select
ADI
Wesco/Anixter
Projects can only be registered to one distributor
Distributor contact email
*
example@example.com
End User Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Region
*
Please Select
British Columbia to Manitoba (Western Canada)
Ontario incl Ottawa (Central Canada)
Quebec to Maritimes (Eastern Canada)
Notes
*
Details regarding why project discount is being requested including who the competing vendor(s) is/are. is there a competitor being displaced in favour of a Titan product?
Product Line(s)
*
Kantech
Exacq
Illustra
American Dynamics (Video Edge)
Expected Order date
*
-
Month
-
Day
Year
Date
Bill of Materials
*
Part numbers and Quantities
Project Specification Upload
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upload project documents
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Want to talk to discuss your project with a Titan?
www.titanproductsgroup.com / +1(800)385-1646
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