Deal Registration

*Please select the following:—Please choose an option—Deal Registration (Net New Mimecast Customer)Deal Registration Expansion (Existing Mimecast Customer With You As Their Partner)

*Company Name:

*Partner Sales Lead:

*Partner Sales Lead Email:

Partner Sales Engineer Lead Name:

Partner Sales Engineer Phone Number:

Partner Technical Email Address EXN/Mimecast (if known):

*Company Name:

*Company Domain:

*Company Vertical:

*Company Tax/Reg Number:

*Company Website:

*Contact First Name:

*Contact Last Name:

*Position:

*Email Address:

*Phone Number:

*Address:

*City:

*Postcode:

*Country:

Mail Server:

MX Records Held By:

Security (AV/AS):

Archive Solution:

Continuity Solution:

*Products (Please Select All That Apply):Secure Email GatewayTargeted Threat ProtectionInternal Email ProtectAwareness TrainingDMARC AnalyzerBrand Exploit ProtectEmail Continuity and RecoveryWeb Threats and Shadow ITPrivacy and EcryptionGovernance and ComplianceBrowser IsolationCybergraphArchive for TeamsEmail Security Cloud IntegratedAwareness Training - Email Security CISync and Recover Cloud IntegratedDMARC Analyzer Cloud IntegratedProtection for Microsoft Collaboration Cloud Integrated

*Budget Approved:

*End Customer Employee Size:

*Total Project Value:

*Closing Date:

*Meeting Date:

*Customers Project Initiative:

Main Competitor:

Is this a result of a marketing campaign?YesNo

If Yes, please provide more details:

Name:

Phone Number:

Email Address:

Name:

Phone Number:

Email Address: