RelaDyne® Target Customer On-Boarding Form

RelaDyne® Target Customer On-Boarding Form

Complete the work sheet for each sales lead
Select Region*

West RegionNortheast RegionNorth RegionSouth Region
Representative's Name*
Representative's E-mail*
Representative's Phone Number*

Area CodePhone Number
Target Account Company Name*
Industry Segment:*
Estimated Annual Gallons
Competitive Supplier's Name
Competitive Brand
Competitor Sales Rep's Name
How Long With Current Supplier?
All To One Competitor?

YesNoNot Sure
List Other Known Competitors
Currently On A Contract?

YesNoNot Sure
Business Owner’s Name
Decision Maker’s Name*
Purchase Influencer’s Name*
Apparent Problems?
What Are My Keys To Winning The Business?
Capital Investments (i.e. Equipment/Cash)
Date Stamp

MonthDayYear
Please click the "Submit" button below to send your form. You will receive a copy of this form in your email including a PDF version.
Should be Empty: