- Date *
  - Day - Month Year

- Contact Urgency *
  Immediately Tomorrow This Week Next Week

- Affiliate Member Contact Name *
- Affiliate Members email address *
- Affiliate Members Business *

- Customer Name *
- Onsite Contact *
- Contact Position *
- Contact Role *
  Information Gatherer Key Influencer Decision Maker
- Best Contact Number *
- Email Address *
- Location *
- Number of Staff / Users *
- Additional Sites *
- Current Client? *
  Yes No
- If Yes, how long? *

- Interested In?

- Landlines - Number of Services
- Mobiles - Number of Services
- Tablets - Number of Services
- PBXaaS - Number of handsets
- Data/Internet - Speed Required?

- Interested in?
  Mobiles MDM
- Notes: *

- Current Supplier *
- Current Spend *
- Relationship with Supplier *
  Good Bad

- Should be Empty: