Submit a Lead

This form is for our channel partners. Getting started as a Channel Partner is simple using our Channel Partner Registration form.

Your Name*
Please enter your first and last name.
Channel Partner Company Name*
Sales Lead Information
Please complete the fields below with the potential customer's information, as per your executed "Referral Agreement" with Atlantic Metro Communications.
First Name of Lead*
Last Name of Lead*
Lead's Email*
Lead's Company Name*
Lead's Phone*
Business Address of Lead*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Service Type*
- Cloud Hosting
- Virtual Private Data Center
- Dedicated Servers
- Colocation/Data Center Space
- Internet Access/Bandwidth
- Metro Ethernet Transport
- Fiber Services
- Professional Services
- Other
Service Details*
Example: Potential customer/lead is moving into a new office space on [date] with employees; interested in Atlantic Metro Ethernet connection.
Comments
This field is for validation purposes and should be left unchanged.

Sales Lead Information