Deal Registration
We would love to partner with you!

Please fill out the form below, and you will receive a response from us as soon as possible.

Eligibility – Opportunity must be in excess of 250 cases to be eligible for registration. RFP’s and RFQ’s are available for deal registration.

Approval – You will be notified via email within 3 business days of approval or rejection of deal registration. If another UZBL partner has already registered the deal no additional registrations are available.

Discount – Approval of deal registration will give you the largest discount that UZBL extends to any partner, and will be valid for 60 days. Extension for deal registration beyond 60 days must be requested by reseller and approved by UZBL.

Opportunity eligibility – The registration/approval applies to the registered district/opportunity only, all opportunities must be submitted separately for approval.

Deal loyalty – In registering a deal to offer UZBL’s products, Reseller agrees not to quote or substitute any competing products, or discount will be considered voided and must be refunded.

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End User (Deal Name) *
Your Name *
Your Company's Name *
Your Email *
Your Phone Number
End User Contact Name *
End User State *
Preferred Distributor (Optional)
Device Manufacturer *
Select all that apply
Required
Device Model(s) 
UZBL Case Interest
Mutliple Selection Allowed
Quantity Needed *
Purchasing Timeframe
Clear selection
Is There a Delivery Date Requirement?
MM
/
DD
/
YYYY
Anything Else We Should Know About This Deal?
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