This form provides information to Librestream that will be used to:
Please complete all fields.
Your Email Address:
Your Phone Number:
Please tell us about your customer.
IndustrySelect an IndustryAerospaceDefenseEnergyHeavy EquipmentManufacturingTICOther
Primary Customer Contact
Please tell us about the customer opportunity.
Customer Opportunity Description (Describe the company business unit or division that will utilize Onsight and how they will be using the solution. What components of the Onsight platform will be most utilized? (Connect, Flow, Workspace, other):
Region wherein Customer will be using Onsight (This is the region where Onsight will be primarily used by the customer. If users of Onsight are dispatched to various regions, select the region where the dispatching operations unit is located.):Select a RegionUSAMiddle East – AfricaAustralia – New ZealandEuropeAsia PacificLatin AmericaCanadaOther
Additional Notes (Please provide any other information that is important to convey regarding this customer opportunity):
Type of Onsight License:Select a License TypeConnectConnect + WorkspaceConnect + Workspace + Flow (full platform)
Number of Onsight Licenses:
Platform Tier:Select a Platform TierEssentialsProfessionalEnterpriseOther
License Term (Months):Select a License Term1224364860Other
License Term Start Date (YYYY/MM/DD):
Please list any additional products/quantities to be sold or describe any unique requirements for this order.:
Onsight Provisioning Information
Onsight Domain (This is the exact domain name that will be provisioned for the customer within Onsight. All Onsight user names will be @ this domain – Ex: customercompanyname.com):
Customer Onsight & Flow Administrator Contact (This is the individual within the customer company who will administer users and settings in the customer’s Onsight domain.)
OPM & Flow Admin Name:
OPM & Flow Admin Email:
OPM & Flow Admin Phone: