Lead Registration Form

This form gathers information for MPY Technologies about a lead you want to refer to MPY Technologies . The more information you can provide the better chance of making a sale and paying your company a referral fee. Please provide as much of the requested information.

Please fill out the details below. Fields marked with (*) are mandatory
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Lead To MNJ
Executive Summary
Lead Details
MNJ Information
Primary Contact
Additional Contacts

You - the person referring a lead to MNJ


About The Lead You Are Referring To MNJ

This opportunity is for which MNJ  
Wish to be involved in MPY Technologies sales cycle  
Who from your company should be involved (name, contact info):
In what role?

Priority Lead Package - MPY Technologies Referral Program

*Determination Type  
*Revenue Range(Fiscal Year)  
*Organisation Type  

Executive Summary

Next Step for MNJ  
Implementation Partner(s)  
Intelligence Summary  
*Purchase Time Frame
Implementation Time Frame
IT Buying Decision Authority
Budget Status
Lead Origination

Lead Details

RFP/RFI Information


Business Description

Core Business  

Purchase Process



Business Pain Points  

IT Environment

*Number of Users  
*IT Staff Count  

MNJ Engagement Information

*MNJ Meeting Scheduled Date  
*Influencing Partner  
*MNJ Meeting Details  
*Demo Requested  

Primary Contact


Additional Contacts

This question is for testing whether you are a human visitor & to prevent automated spam submissions.
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
  I Agree to/the terms and conditionsin the MPY Technologies Referral Program Agreement.