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Podium Partner Client Deal Registration
Questions must be completed for setup. Onboarding information for new clients.
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Partner Company Name? *
Partner Contact Name? *
Prospect Company Name? *
Physical address of the business? If the customer is signing up multiple locations please list all addresses below. *
Prospect contact, main point of contact at the business (name, email, & phone)? *
Vertical *
How many total locations? *
What Podium package are they enrolling in?   *
Please select the Podium package the customer is signing for.  If it is a different package that what is listed please choose other and provide short detail.
Is there an integration available that they would like to activate? (your partner manager will verify if integration is available) *
Required
If there is an integration, please state what system they would like to integrate?
Integration point of contact at the business (someone at the business that has access & can assist with the integration)? Please list name, phone number, & email.
Any additional notes on this account?
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