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Partner Engagement Portal

The following form is to be used by JPMorgan to forward customer leads to the Equinox Sales Team. Please complete the fields below.

"*" indicates required fields

Enter JPMorgan Partner Representative Information

The form is limited to JPMorgan. Please provide your contact information details and your role.

Representative's Name*

The Equinox team will review the opportunity with you prior to reaching out to the client.

First Last

Representative Role*

Please specify your role:*

JPMorgan Email Address*

Representative Phone Number

Enter Client Details

Please provide the details about the customer that will be using the POS solution with the Luxe terminal. The client will be contacted directly by Equinox.

Client's Company Name*

Client's Name*

First Last

Client's Contact Job Title*

Client's Contact Email*

Client's Contact Phone Number

Client's Web Site

Select all that apply to the Client:

Retail

Unattended Retail

Mobile Retail

Restaurant/QSR

Restaurant/Casual

Restaurant/Fine

Entertainment & Gaming

Lodging

Grocery

Transportation

Government/Utilities

Airlines

Automotive

Construction/Industrial

Professional Home Services (e.g. plumbing, pest control, etc.)

Other

Other:

Enter Payment Integrator Details

The Payment Integrator is the POS provider that will interface with the Luxe terminal. The integrator (if new) will be contacted by Equinox so that they can be provided the necessary API documentation to process a payment transaction.

Payment Integrator Company Name*

Payment Integrator Contact's Name*

First Last

Payment Integrator Contact Job Title

Payment Integrator Contact Email*

Payment Integrator Contact Phone Number*

Is this an existing Payment Integrator or New?*

Please provide details about this opportunity:

If the Payment Integrator is new, provide details about the number of stores and the number of Luxe terminals to be deployed for all stores. Include specific requirements that have been requested by the Client.

How many stores?*

How many terminals?*

Please provide additional information or requirements from the Client:

Please provide information on how to manage this opportunity and the Payment Integrator:

Is this a Managed or Unmanaged account?*

Specify Managed if the account relationship is controlled by JPMorgan.

Is a Request for Proposal (RFP) document required?*

Indicate if the client has requested a formal proposal document to be created by Equinox.

Additional Comments

Provide any specific instructions on how to proceed with the client or with the Payment Integrator. Include any additional details about the RFP and share client constraints.

Attach up to 3 files (for example, .doc, .pdf, .ppt, etc.)

Attach materials related to this opportunity and/or the Payment Integrator. Attach Word, Acrobat, PowerPoint, or Excel files.

Drop files here or

Accepted file types: doc, docx, pdf, ppt, xlsx, xls, txt, csv, dif, pptx, ppt, ods, ppsx, pps, odp, odt, emf, bmp, gif, jpg, tif, wmf, wb1, png, Max. file size: 64 MB, Max. files: 3.

Comments

This field is for validation purposes and should be left unchanged.