Lead Registration Form

VAR RAID Storage Proposal Request and End User Opportunity Registration Form

Please complete and submit to request a RAID Storage Proposal to be emailed to you within 24 hours

Your Privacy matters at Storageflex

All fields above must be completed in order for this application to be processed properly.

Reseller Information

Name

Title

Company

Address

City

Province/State

Country

Postal/Zipcode

Telephone

Extension

Fax

Email

End User Registration Information

Name

Title

Company

Address

City

Province/State

Country

Postal/Zipcode

Telephone

Extension

Fax

Email

Storage Requirement

Storageflex Model

Estimated Buying Time

Who helped you with the quote?

Quote Recieved?

Configuration and other details

Provide the correct answer to Submit (required).