Referral Lead

This form is used for both new business and add-on referrals for existing customers. If you have a file that needs to be associated with this form, please email it to PartnerInfo with the name of your company in the subject line. Thank you!

Fields with an * are required

Partner Information

Partner Site ID

Partner Company Name *

Partner Contact Name *

Partner Email Address *

Referred Company Information

Referred Company (Lead) *

Street *

City *

Zip / Postal Code

Country *

Phone *

Contact First Name *

Contact Last Name *

Title *

Business E-mail Address *

Type of Lead *

Please describe your relationship to the lead *

Number of Employees *

Current Software in Use

Epicor Product Being Referred *

Other Software Being Considered

Timeframe for New Software Purchase *

Budget for Software

* I agree to the Website terms and conditions.

* I would like to receive further communications from Epicor and its Affiliates/Partners about their products and services via email, telephone and post using my contact information above. I understand that Epicor Privacy Policy applies and that I can withdraw my consent at any time.