Lead Submission
Register your lead as a Best.Energy Affiliate
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Are you a Certified and Registered Best.Energy Affiliate?
*
Yes
No
The Client
Key details for the client interested in our solutions
Company Name
*
Facility Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Main Contact
*
First Name
Last Name
Contact Job Title
*
Contact Email Address
*
example@example.com
Contact Phone Number
*
-
Country Dialling Code
Phone Number
Client Sector
*
Please Select
Hotels
Restaurants
Manufacturing
Food Production
Education
Data Centres
Leisure Facilities
Other
Please provide a description of the client's business, including scale, activity, length established etc.
*
How many sites does the client have?
*
What is their rough energy spend in USD ($) per year
*
How far have you progressed this potential client?
*
I have spoken with them directly
I have provided one or more case studies
I have provided additional marketing materials (eg. brochures)
Has the client confirmed, verbally or in writing, their interest in a potential project?
*
Yes, in writing
Yes, verbally
No
SAVE
SUBMIT
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