Vigitron Project Registration Form

Date Submitted: 10/23/2018  
Indicate Company Type:  
Your Contact Information
Company:  
Name:  
Title:  
Email:  
Phone:  
Project Information
   
Name:
Title:
Email:
Phone:
Project Description:
Start Date (Est.):    
Project Type: Bid Project            Sole Source
Did your company specify the project? Yes            No
Model Numbers and Quantities:
For Internal Use Only
Date Request Received:    
Vigitron Authorization Code:  
Date Purchase Order Received:    
Purchase Order No.:  
NOTE:
1. All fields need to be completed.
2. Project registration is open only to authorized Vigitron resellers who are dealers or system integrators working on projects in the United States of America.
3. By submitting this form, you acknowledge that you have read and accepted Vigitron's Project Registration Policy governing this form.