Required fields are marked with an asterisk (*)

Yes! I want to use PWR Tools for decision maker demand generation.
Note: submission of this registration form is an agreement to participate. Because this registration triggers acquisition of materials, you cannot withdraw from participation after this form has been submitted.

*Choose your premium and participation level: (Contact Bazzirk for other quantities.)

Nascar-style racer
(Click here for more info.)

 Porsche Cayman
(Click here for more info.)
25 Prime Contacts
($4,600)		 25 Prime Contacts
($5,600)
50 Prime Contacts
($6,600)		 50 Prime Contacts
($8,550)
100 Prime Contacts
($10,600)		 100 Prime Contacts
($14,400)
200 Prime Contacts
($19,900)		 200 Prime Contacts
($27,400)
300 Prime Contacts
($29,200)		 300 Prime Contacts
($40,450)

Note: Prices shown are US-only. For other regions, please visit these alternate registration pages.
Canada
Europe
Latin America
Asia Pac
Mexico


Database Qualification ($50 per contact).
PWRset™ ($250/rep set up; $100/set appointment)
(Prices apply to US campaigns only. Please request a Quote for campaigns outside the US.)


*First name / Last name:
*Title:
*Company:
*Street address 1:
Street address 2:
*City / State / ZIP:
*Area code / Phone:
*eMail:


If someone else will be managing this marketing program,
please list their contact information below.
Name
Title
Phone
eMail


*My HP Partner Manager is:












Copyright © 2008 by Bazzirk, Inc. Bazzirk, PWR, PWR Tools, PWRplay, and PWRline are trademarks of Bazzirk, Inc. All other trademarks, copyrights, and logos are property of their respective companies. All specifications and other information in this document are subject to change without notice.