Project Registration

Step

Registration Type *

Project & End User Details

Project Name*

End User Company*

End User Contact Name*

End User Vertical *

Scope of project: (# of devices, typical distances, etc.)*

Your NVT Phybridge Representative *

Estimated Proposal Date*

Estimated Customer Decision Date*

Estimated Initial Order Date*

*Must be at least 30 days from today's date to qualify for project registration

Estimated Project Duration:*

Company Name*

Address*

City*

State | Province*

Country*

Sales Person | Registration Contact*

Email*

Phone Number*