Affinity
T&E Partner Referal Sales Lead Form
Your Name
Phone Number
E-Mail Address
Vender Partner Lead is for
Choose Vendor from Drop down
Comdata
TravelPlex
TripEasy
DEEM
Certify
VAT IT
Hoperator
ParkWHIZ
Airport Butler
Incentive Travel Solutions
Customer Prospect Information (Fill out what you can)
Company Name
Contact Name
Contact Phone Number
Contact e-mail
Contact Business Address:
Number of Employees
Type of Industry
Annual Revenue
Monthly Expense Reports
Select volume from Drop Down
<100
100-499
500-1,000
>1,000
Current Expense Platform
Annual Travel Spend
Number of Travelers
What % is International
Current Travel Platform
I want to share a lead, but will OPT-OUT of incentive payment
NO
YES
Contact me prior to calling Prospect
Yes
No
Supply additional information that will help us better consult with your prospect.
SUBMIT FORM
