can.cloudanalytics.me Open in urlscan Pro
52.237.13.3  Public Scan

Form analysis
1 forms found in the DOM

POST https://can.cloudanalytics.me/nurturing/form/submit?formId=91

<form autocomplete="false" role="form" method="post" action="https://can.cloudanalytics.me/nurturing/form/submit?formId=91" id="mauticform_azureconsultingregisteryourdeal" data-mautic-form="azureconsultingregisteryourdeal"
  enctype="multipart/form-data" target="mauticiframe_azureconsultingregisteryourdeal">
  <div class="mauticform-error" id="mauticform_azureconsultingregisteryourdeal_error"></div>
  <div class="mauticform-message" id="mauticform_azureconsultingregisteryourdeal_message"></div>
  <div class="mauticform-innerform">
    <div class="mauticform-page-wrapper mauticform-page-1" data-mautic-form-page="1">
      <div id="mauticform_azureconsultingregisteryourdeal_first_name" data-validate="first_name" data-validation-type="text" class="mauticform-row mauticform-text mauticform-field-1 mauticform-required">
        <label id="mauticform_label_azureconsultingregisteryourdeal_first_name" for="mauticform_input_azureconsultingregisteryourdeal_first_name" style="font-size: 14px;color: #333333;" class="mauticform-label">First Name</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_first_name" name="mauticform[first_name]" value="" style=" border-color: #63666a;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_last_name" data-validate="last_name" data-validation-type="text" class="mauticform-row mauticform-text mauticform-field-2 mauticform-required">
        <label id="mauticform_label_azureconsultingregisteryourdeal_last_name" for="mauticform_input_azureconsultingregisteryourdeal_last_name" style="font-size: 14px;color: #333333;" class="mauticform-label">Last Name</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_last_name" name="mauticform[last_name]" value="" style=" border-color: #63666a;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_email" data-validate="email" data-validation-type="text" class="mauticform-row mauticform-text mauticform-field-3 mauticform-required">
        <label id="mauticform_label_azureconsultingregisteryourdeal_email" for="mauticform_input_azureconsultingregisteryourdeal_email" style="font-size: 14px;color: #333333;" class="mauticform-label">Company Email</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_email" name="mauticform[email]" value="" style=" border-color: #63666a;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_company_name" data-validate="company_name" data-validation-type="text" class="mauticform-row mauticform-text mauticform-field-4 mauticform-required">
        <label id="mauticform_label_azureconsultingregisteryourdeal_company_name" for="mauticform_input_azureconsultingregisteryourdeal_company_name" style="font-size: 14px;color: #333333;" class="mauticform-label">Company Name</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_company_name" name="mauticform[company_name]" value="" style=" border-color: #63666a;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_province1" style="font-size: 14px;color: #333333;" data-validate="province1" data-validation-type="radiogrp" class="mauticform-row mauticform-radiogrp mauticform-field-5 mauticform-required">
        <label style="font-size: 14px;color: #333333;" class="mauticform-label" for="mauticform_radiogrp_radio_province1_ON1">Province:</label>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_ON0" type="radio" value="ON">
          <label id="mauticform_radiogrp_label_province1_ON0" for="mauticform_radiogrp_radio_province1_ON0" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">ON</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_NB1" type="radio" value="NB">
          <label id="mauticform_radiogrp_label_province1_NB1" for="mauticform_radiogrp_radio_province1_NB1" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">NB</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_NL2" type="radio" value="NL">
          <label id="mauticform_radiogrp_label_province1_NL2" for="mauticform_radiogrp_radio_province1_NL2" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">NL</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_NS3" type="radio" value="NS">
          <label id="mauticform_radiogrp_label_province1_NS3" for="mauticform_radiogrp_radio_province1_NS3" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">NS</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_NorthwestTerritories4" type="radio"
            value="Northwest Territories">
          <label id="mauticform_radiogrp_label_province1_NorthwestTerritories4" for="mauticform_radiogrp_radio_province1_NorthwestTerritories4" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Northwest Territories</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_QC5" type="radio" value="QC">
          <label id="mauticform_radiogrp_label_province1_QC5" for="mauticform_radiogrp_radio_province1_QC5" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">QC</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_MB6" type="radio" value="MB">
          <label id="mauticform_radiogrp_label_province1_MB6" for="mauticform_radiogrp_radio_province1_MB6" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">MB</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_AB7" type="radio" value="AB">
          <label id="mauticform_radiogrp_label_province1_AB7" for="mauticform_radiogrp_radio_province1_AB7" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">AB</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_BC8" type="radio" value="BC">
          <label id="mauticform_radiogrp_label_province1_BC8" for="mauticform_radiogrp_radio_province1_BC8" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">BC</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[province1]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_province1_SK9" type="radio" value="SK">
          <label id="mauticform_radiogrp_label_province1_SK9" for="mauticform_radiogrp_radio_province1_SK9" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">SK</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_phone_number" data-validate="phone_number" data-validation-type="tel" class="mauticform-row mauticform-tel mauticform-field-6 mauticform-required">
        <label id="mauticform_label_azureconsultingregisteryourdeal_phone_number" for="mauticform_input_azureconsultingregisteryourdeal_phone_number" style="font-size: 14px;color: #333333;" class="mauticform-label">Phone Number</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_phone_number" name="mauticform[phone_number]" value="" style=" border-color: #63666a;" class="mauticform-input" type="tel">
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_are_you_a_microsoft_csp_p" style="font-size: 14px;color: #333333;" data-validate="are_you_a_microsoft_csp_p" data-validation-type="radiogrp"
        class="mauticform-row mauticform-radiogrp mauticform-field-7 mauticform-required">
        <label style="font-size: 14px;color: #333333;" class="mauticform-label" for="mauticform_radiogrp_radio_are_you_a_microsoft_csp_p_Yes1">Are you a Microsoft CSP Partner?</label>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[are_you_a_microsoft_csp_p]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_are_you_a_microsoft_csp_p_Yes0" type="radio"
            value="Yes">
          <label id="mauticform_radiogrp_label_are_you_a_microsoft_csp_p_Yes0" for="mauticform_radiogrp_radio_are_you_a_microsoft_csp_p_Yes0" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Yes</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[are_you_a_microsoft_csp_p]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_are_you_a_microsoft_csp_p_No1" type="radio"
            value="No">
          <label id="mauticform_radiogrp_label_are_you_a_microsoft_csp_p_No1" for="mauticform_radiogrp_radio_are_you_a_microsoft_csp_p_No1" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">No</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[are_you_a_microsoft_csp_p]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_are_you_a_microsoft_csp_p_Idontknow2"
            type="radio" value="I don't know">
          <label id="mauticform_radiogrp_label_are_you_a_microsoft_csp_p_Idontknow2" for="mauticform_radiogrp_radio_are_you_a_microsoft_csp_p_Idontknow2" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">I don't know</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_are_you_currently_transac" style="font-size: 14px;color: #333333;" data-validate="are_you_currently_transac" data-validation-type="radiogrp"
        class="mauticform-row mauticform-radiogrp mauticform-field-8 mauticform-required">
        <label style="font-size: 14px;color: #333333;" class="mauticform-label" for="mauticform_radiogrp_radio_are_you_currently_transac_YesonTechDataStreamOneCloudMarketplace1">Are you currently transacting any CSP business?</label>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[are_you_currently_transac]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio"
            id="mauticform_radiogrp_radio_are_you_currently_transac_YesonTechDataStreamOneCloudMarketplace0" type="radio" value="Yes, on Tech Data StreamOne Cloud Marketplace">
          <label id="mauticform_radiogrp_label_are_you_currently_transac_YesonTechDataStreamOneCloudMarketplace0" for="mauticform_radiogrp_radio_are_you_currently_transac_YesonTechDataStreamOneCloudMarketplace0"
            style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Yes, on Tech Data StreamOne Cloud Marketplace</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[are_you_currently_transac]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_are_you_currently_transac_YesonSIE1"
            type="radio" value="Yes, on SIE">
          <label id="mauticform_radiogrp_label_are_you_currently_transac_YesonSIE1" for="mauticform_radiogrp_radio_are_you_currently_transac_YesonSIE1" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Yes, on SIE</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[are_you_currently_transac]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_are_you_currently_transac_YesonStellr2"
            type="radio" value="Yes, on Stellr">
          <label id="mauticform_radiogrp_label_are_you_currently_transac_YesonStellr2" for="mauticform_radiogrp_radio_are_you_currently_transac_YesonStellr2" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Yes, on
            Stellr</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[are_you_currently_transac]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio"
            id="mauticform_radiogrp_radio_are_you_currently_transac_NotyetbutIminterestedinlearningmoreaboutCSP3" type="radio" value="Not yet but I'm interested in learning more about CSP">
          <label id="mauticform_radiogrp_label_are_you_currently_transac_NotyetbutIminterestedinlearningmoreaboutCSP3" for="mauticform_radiogrp_radio_are_you_currently_transac_NotyetbutIminterestedinlearningmoreaboutCSP3"
            style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Not yet but I'm interested in learning more about CSP</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[are_you_currently_transac]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_are_you_currently_transac_Otherpleasespecify4"
            type="radio" value="Other, please specify">
          <label id="mauticform_radiogrp_label_are_you_currently_transac_Otherpleasespecify4" for="mauticform_radiogrp_radio_are_you_currently_transac_Otherpleasespecify4" style="font-size: 13px;color: #333333;"
            class="mauticform-radiogrp-label">Other, please specify</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_please_specify" class="mauticform-row mauticform-text mauticform-field-9">
        <label id="mauticform_label_azureconsultingregisteryourdeal_please_specify" for="mauticform_input_azureconsultingregisteryourdeal_please_specify" style="font-size: 14px;color: #333333;" class="mauticform-label">Please specify</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_please_specify" name="mauticform[please_specify]" value="" style=" border-color: #63666a;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_how_would_you_define_your" style="font-size: 14px;color: #333333;" data-validate="how_would_you_define_your" data-validation-type="radiogrp"
        class="mauticform-row mauticform-radiogrp mauticform-field-10 mauticform-required">
        <label style="font-size: 14px;color: #333333;" class="mauticform-label" for="mauticform_radiogrp_radio_how_would_you_define_your_Reseller1">How would you define your business?</label>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[how_would_you_define_your]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_how_would_you_define_your_Reseller0"
            type="radio" value="Reseller">
          <label id="mauticform_radiogrp_label_how_would_you_define_your_Reseller0" for="mauticform_radiogrp_radio_how_would_you_define_your_Reseller0" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Reseller</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[how_would_you_define_your]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_how_would_you_define_your_VAR1" type="radio"
            value="VAR">
          <label id="mauticform_radiogrp_label_how_would_you_define_your_VAR1" for="mauticform_radiogrp_radio_how_would_you_define_your_VAR1" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">VAR</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[how_would_you_define_your]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_how_would_you_define_your_MSP2" type="radio"
            value="MSP">
          <label id="mauticform_radiogrp_label_how_would_you_define_your_MSP2" for="mauticform_radiogrp_radio_how_would_you_define_your_MSP2" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">MSP</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[how_would_you_define_your]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_how_would_you_define_your_SI3" type="radio"
            value="SI">
          <label id="mauticform_radiogrp_label_how_would_you_define_your_SI3" for="mauticform_radiogrp_radio_how_would_you_define_your_SI3" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">SI</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[how_would_you_define_your]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_how_would_you_define_your_ISV4" type="radio"
            value="ISV">
          <label id="mauticform_radiogrp_label_how_would_you_define_your_ISV4" for="mauticform_radiogrp_radio_how_would_you_define_your_ISV4" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">ISV</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_customers_information" style="font-size: 14px;color: #333333;" class="mauticform-row mauticform-freetext mauticform-field-11">
        <h3 id="mauticform_label_azureconsultingregisteryourdeal_customers_information" for="mauticform_input_azureconsultingregisteryourdeal_customers_information" style="font-size: 14px;color: #333333;" class="mauticform-label"> Customers
          Information </h3>
        <div id="mauticform_input_azureconsultingregisteryourdeal_customers_information" name="mauticform[customers_information]" value="" class="mauticform-freetext">
        </div>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_does_your_opportunity_inc" style="font-size: 14px;color: #333333;" data-validate="does_your_opportunity_inc" data-validation-type="radiogrp"
        class="mauticform-row mauticform-radiogrp mauticform-field-12 mauticform-required">
        <label style="font-size: 14px;color: #333333;" class="mauticform-label" for="mauticform_radiogrp_radio_does_your_opportunity_inc_Yes1">Does your opportunity include Windows server and/or SQL server EOS?</label>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[does_your_opportunity_inc]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_does_your_opportunity_inc_Yes0" type="radio"
            value="Yes">
          <label id="mauticform_radiogrp_label_does_your_opportunity_inc_Yes0" for="mauticform_radiogrp_radio_does_your_opportunity_inc_Yes0" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Yes</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[does_your_opportunity_inc]" style=" border-color: #63666a;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_does_your_opportunity_inc_No1" type="radio" value="No">
          <label id="mauticform_radiogrp_label_does_your_opportunity_inc_No1" for="mauticform_radiogrp_radio_does_your_opportunity_inc_No1" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">No</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_end_customer_1name" data-validate="end_customer_1name" data-validation-type="text" class="mauticform-row mauticform-text mauticform-field-13 mauticform-required">
        <label id="mauticform_label_azureconsultingregisteryourdeal_end_customer_1name" for="mauticform_input_azureconsultingregisteryourdeal_end_customer_1name" style="font-size: 14px;color: #333333;" class="mauticform-label">End Customer
          #1Name</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_end_customer_1name" name="mauticform[end_customer_1name]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_end_customer1_domain" data-validate="end_customer1_domain" data-validation-type="text" class="mauticform-row mauticform-text mauticform-field-14 mauticform-required">
        <label id="mauticform_label_azureconsultingregisteryourdeal_end_customer1_domain" for="mauticform_input_azureconsultingregisteryourdeal_end_customer1_domain" style="font-size: 14px;color: #333333;" class="mauticform-label">End Customer#1
          Domain</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_end_customer1_domain" name="mauticform[end_customer1_domain]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_estimated_azure_monthly_r2" data-validate="estimated_azure_monthly_r2" data-validation-type="text" class="mauticform-row mauticform-text mauticform-field-15 mauticform-required">
        <label id="mauticform_label_azureconsultingregisteryourdeal_estimated_azure_monthly_r2" for="mauticform_input_azureconsultingregisteryourdeal_estimated_azure_monthly_r2" style="font-size: 14px;color: #333333;"
          class="mauticform-label">Estimated Azure Monthly revenue</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_estimated_azure_monthly_r2" name="mauticform[estimated_azure_monthly_r2]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_do_you_have_more_customer" style="font-size: 14px;color: #333333;" data-validate="do_you_have_more_customer" data-validation-type="radiogrp"
        class="mauticform-row mauticform-radiogrp mauticform-field-16 mauticform-required">
        <label style="font-size: 14px;color: #333333;" class="mauticform-label" for="mauticform_radiogrp_radio_do_you_have_more_customer_Yes1">Do you have more Customers to register?</label>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[do_you_have_more_customer]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_do_you_have_more_customer_Yes0" type="radio"
            value="Yes">
          <label id="mauticform_radiogrp_label_do_you_have_more_customer_Yes0" for="mauticform_radiogrp_radio_do_you_have_more_customer_Yes0" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">Yes</label>
        </div>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[do_you_have_more_customer]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_do_you_have_more_customer_No1" type="radio"
            value="No">
          <label id="mauticform_radiogrp_label_do_you_have_more_customer_No1" for="mauticform_radiogrp_radio_do_you_have_more_customer_No1" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">No</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_end_customer2_name" class="mauticform-row mauticform-text mauticform-field-17" style="display: none;">
        <label id="mauticform_label_azureconsultingregisteryourdeal_end_customer2_name" for="mauticform_input_azureconsultingregisteryourdeal_end_customer2_name" style="font-size: 14px;color: #333333;" class="mauticform-label">End Customer#2
          Name</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_end_customer2_name" name="mauticform[end_customer2_name]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_end_customer_2_name" class="mauticform-row mauticform-text mauticform-field-18" style="display: none;">
        <label id="mauticform_label_azureconsultingregisteryourdeal_end_customer_2_name" for="mauticform_input_azureconsultingregisteryourdeal_end_customer_2_name" style="font-size: 14px;color: #333333;" class="mauticform-label">End Customer #2
          Name</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_end_customer_2_name" name="mauticform[end_customer_2_name]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_estimated_azure_monthly_r" class="mauticform-row mauticform-text mauticform-field-19" style="display: none;">
        <label id="mauticform_label_azureconsultingregisteryourdeal_estimated_azure_monthly_r" for="mauticform_input_azureconsultingregisteryourdeal_estimated_azure_monthly_r" style="font-size: 14px;color: #333333;" class="mauticform-label">Estimated
          Azure Monthly revenue</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_estimated_azure_monthly_r" name="mauticform[estimated_azure_monthly_r]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_end_customer3_name" class="mauticform-row mauticform-text mauticform-field-20" style="display: none;">
        <label id="mauticform_label_azureconsultingregisteryourdeal_end_customer3_name" for="mauticform_input_azureconsultingregisteryourdeal_end_customer3_name" style="font-size: 14px;color: #333333;" class="mauticform-label">End Customer#3
          Name</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_end_customer3_name" name="mauticform[end_customer3_name]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_end_customer3_domain" class="mauticform-row mauticform-text mauticform-field-21" style="display: none;">
        <label id="mauticform_label_azureconsultingregisteryourdeal_end_customer3_domain" for="mauticform_input_azureconsultingregisteryourdeal_end_customer3_domain" style="font-size: 14px;color: #333333;" class="mauticform-label">End Customer#3
          Domain</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_end_customer3_domain" name="mauticform[end_customer3_domain]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_estimated_azure_monthly_r1" class="mauticform-row mauticform-text mauticform-field-22" style="display: none;">
        <label id="mauticform_label_azureconsultingregisteryourdeal_estimated_azure_monthly_r1" for="mauticform_input_azureconsultingregisteryourdeal_estimated_azure_monthly_r1" style="font-size: 14px;color: #333333;"
          class="mauticform-label">Estimated Azure Monthly revenue</label>
        <input id="mauticform_input_azureconsultingregisteryourdeal_estimated_azure_monthly_r1" name="mauticform[estimated_azure_monthly_r1]" value="" style="font-size: 14px;color: #333333;" class="mauticform-input" type="text">
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_if_more_than_3_customers1" style="font-size: 14px;color: #333333;" class="mauticform-row mauticform-radiogrp mauticform-field-23">
        <label style="font-size: 14px;color: #333333;" class="mauticform-label" for="mauticform_radiogrp_radio_if_more_than_3_customers1_IAgree1">If more than 3 customers, please send end customer information to your Azure sales
          representative</label>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[if_more_than_3_customers1]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_if_more_than_3_customers1_IAgree0" type="radio"
            value="I Agree">
          <label id="mauticform_radiogrp_label_if_more_than_3_customers1_IAgree0" for="mauticform_radiogrp_radio_if_more_than_3_customers1_IAgree0" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">I Agree</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;"></span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_i_understand_that_by_comp" style="font-size: 14px;color: #333333;" data-validate="i_understand_that_by_comp" data-validation-type="radiogrp"
        class="mauticform-row mauticform-radiogrp mauticform-field-24 mauticform-required">
        <label style="font-size: 14px;color: #333333;" class="mauticform-label" for="mauticform_radiogrp_radio_i_understand_that_by_comp_Iagree1">I understand that by completing this form, I am providing my consent for TD SYNNEX to contact me
          regarding my query and other promotional offers. For more information on how we process your information, please click here for the TD SYNNEX privacy statement <a href="tdsynnex.com">Privacy</a>.</label>
        <div class="mauticform-radiogrp-row"> <input name="mauticform[i_understand_that_by_comp]" style="font-size: 14px;color: #333333;" class="mauticform-radiogrp-radio" id="mauticform_radiogrp_radio_i_understand_that_by_comp_Iagree0" type="radio"
            value="I agree">
          <label id="mauticform_radiogrp_label_i_understand_that_by_comp_Iagree0" for="mauticform_radiogrp_radio_i_understand_that_by_comp_Iagree0" style="font-size: 13px;color: #333333;" class="mauticform-radiogrp-label">I agree</label>
        </div>
        <span class="mauticform-errormsg" style="display: none;">This is required.</span>
      </div>
      <div id="mauticform_azureconsultingregisteryourdeal_submit" style="font-size: 15px;" class="mauticform-row mauticform-button-wrapper mauticform-field-25">
        <button type="submit" name="mauticform[submit]" id="mauticform_input_azureconsultingregisteryourdeal_submit" value="" class="mauticform-button btn btn-default" style="color: #333333; border-color: #63666a;">Submit</button>
      </div>
    </div>
  </div>
  <input type="hidden" name="mauticform[formId]" id="mauticform_azureconsultingregisteryourdeal_id" value="91">
  <input type="hidden" name="mauticform[return]" id="mauticform_azureconsultingregisteryourdeal_return" value="">
  <input type="hidden" name="mauticform[formName]" id="mauticform_azureconsultingregisteryourdeal_name" value="azureconsultingregisteryourdeal">
  <input type="hidden" name="mauticform[mauticpage]" value="105">
  <input type="hidden" name="mauticform[messenger]" id="mauticform_azureconsultingregisteryourdeal_messenger" value="1">
</form>

Text Content

Don’t miss out on this opportunity!



LIMITED TIME OFFER!



Funding options available to enable you to grow and win more business.

TD SYNNEX is pleased to introduce new offers and funding options that will
enable you to accelerate your Azure Cloud journey.


Terms and Conditions
*Funds support will be reviewed on a case-to-care basis subject to consultation
with your Azure Specialist and at the discretion of the TD SYNNEX sales manager.
Please consult your Azure Specialist for offer details.

*The Azure Empower Incentive, Azure Empower Customer Add, Azure JumpStart and
Azure Professional Services promo/offers are limited and will be available on a
first come, first serve basis subject to availability of budget and funds as
approved by the TD SYNNEX Sales Manager.

*The Azure Empower Promos/Offers/Incentives may require Deal Opportunity
Registration to qualify for any of these offers, unless otherwise noted.

*Refer to terms and conditions as outlined on the individual offers unless
otherwise noted.

*TD SYNNEX reserves the right, in its absolute discretion to substitute,
withdraw, or modify any portion of this promotion at any time, for any reason,
without prior notification.

* Although every effort has been made to ensure the accuracy of the information
in this piece, we do reserve the right to correct typographical and pictorial
errors.




REGISTER YOUR DEAL

Fill out the form below so that our team can reach you.

First Name This is required.
Last Name This is required.
Company Email This is required.
Company Name This is required.
Province:
ON
NB
NL
NS
Northwest Territories
QC
MB
AB
BC
SK
This is required.
Phone Number This is required.
Are you a Microsoft CSP Partner?
Yes
No
I don't know
This is required.
Are you currently transacting any CSP business?
Yes, on Tech Data StreamOne Cloud Marketplace
Yes, on SIE
Yes, on Stellr
Not yet but I'm interested in learning more about CSP
Other, please specify
This is required.
Please specify
How would you define your business?
Reseller
VAR
MSP
SI
ISV
This is required.


CUSTOMERS INFORMATION


Does your opportunity include Windows server and/or SQL server EOS?
Yes
No
This is required.
End Customer #1Name This is required.
End Customer#1 Domain This is required.
Estimated Azure Monthly revenue This is required.
Do you have more Customers to register?
Yes
No
This is required.
End Customer#2 Name
End Customer #2 Name
Estimated Azure Monthly revenue
End Customer#3 Name
End Customer#3 Domain
Estimated Azure Monthly revenue
If more than 3 customers, please send end customer information to your Azure
sales representative
I Agree
I understand that by completing this form, I am providing my consent for TD
SYNNEX to contact me regarding my query and other promotional offers. For more
information on how we process your information, please click here for the TD
SYNNEX privacy statement Privacy.
I agree
This is required.
Submit



Contact your TD SYNNEX Sales Representative today at: 1-800-268-1220

For Sales Representatives in Montreal, contact 1-800-363-2821 or 514-745-1695

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