AT&T Powerfleet Qualification Form

Customer Qualification Form
Your AT&T Business Unit
Customer Segment
Retail Store Name
Retail Store Location
City, State
AT&T Information
Retail Comp Code
AT&T Alliance Solution Provider
Is the client information part of the 'Ignite IOT' campaign?
CampaignID
Your Name

First NameLast Name
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your email address
example@att.com
Billing Channel
Please select your Powerfleet Regional Sales Manager (RSM)
Would you like to schedule a meeting with your RSM?
Customer Information
Is the customer an existing Powerfleet customer?
Have you previously completed a qualification form for this customer?
OwnerID
Business Name
Contact's Title
Business title or role
Customer Contact Name

First NameLast Name
Customer's Email Address
example@example.com
Customer's Phone Number
Format: (000) 000-0000.
Industry
Primary Business Location - City

Street Address

Street Address Line 2

Zip Code
‎Primary Business Location - State
StateCode
Fleet Information
How many vehicles does the business own?
What type of vehicles does the business own?

Other
How many of the mobile assets (not vehicles) could potentially benefit from tracking?
What type of mobile assets does the business own?

Other
Does the business currently use a fleet telematics provider?
Who is the current fleet telematics provider?
Does the business currently deploy a dash camera solution on their vehicles?
Vehicles+assets
Additional information you would like to share
Additional information
LeadSource
Should be Empty:

Customer Qualification Form

AT&T Information

Customer Information

Fleet Information