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Partner Lead Qualification Form

Partner details

In this section, you must include all your details so that we can have a reference for who sent us the information.

First Name

Last Name

Partner Email

Partner Phone

Partner Company

How did you hear about our partner program?

Please specify “Other”

"Lead" Details

In this section, you should include all the details of the opportunity you wish to share. It is important that you provide accurate information so that we can follow up with you in the best possible way.

Company Name (Lead)

Company Website

Sector/Industry

Please specify “Other”

Country

City (optional):

Business Description

Department/Business unit to which the proposal is addressed:

Have you identified any specific needs or is there anything we should know that would help us better focus on this opportunity?

Name of contact in the company:

Contact position:

Contact email address:

Contact phone number (optional):

How was this lead generated?

Please specify “Other”

Has an initial conversation about URBIM already been held with the lead?

Is a joint meeting with URBIM scheduled?

Date / Time

Type of opportunity

Platform licenses

Development/integration

Digitization services

Other

Please specify “Other”

Additional documentation _You can upload a PDF, initial contact email, or screenshots that prove the lead.

Choose File/files

I declare that this lead has been generated by our company as a Reference Partner and request its validation and blocking during the period established in the agreement.

I understand that the blocking is by department and does not prevent URBIM from acting on other areas or different qualified leads.