Opportunity Registration

To register a Nirvanix opportunity, please complete the following form. Once submitted, a Nirvanix representative may contact you to discuss the opportunity in more detail. Once reviewed by a Nirvanix team member, you will be notified if the request has been granted or denied.

Required Fields in bold

Reseller Information

Reseller Company Name: Reseller Contact Name: Reseller Contact Phone: Reseller Contact E-Mail:

End-user's Contact Information:

Company Name Company Address City State/Province Zip Code Country Corporate Headquarters' Location (City/State/Province): Contact First Name Contact Last Name Contact Email Contact Phone Industry How was this opportunity generated?:

Opportunity Information:

Solution(s) being discussed: Use Case: Initial TB: 12 Month Growth in TB: Desired Node Location:

How will the data be moved to the cloud?:

Data Mover Software: Data Mover Hardware: Who is the primary competitor in this deal?: Are other partners involved with a total solution sale for this company?: Current primary solution vendor product:

Please provide a description, project name or any comments
about this opportunity you may find useful:
Expected Close Date (mm/dd/yyyy):