Walton Partner Lead Referral Please enable JavaScript in your browser to complete this form.1Lead Referral Source2Lead Contact Information3Lead Qualification4Review + ConsentReferral SourceLet us know who the painter is and who we can contact should we have questions regarding this lead.Partner Company *LayoutReferring Contact Name *(Person submitting lead)Email *Job TitlePhoneBest way to reach youPhoneEmailSMS/TextTime ZoneEasternCentralMountainPacificHow involved do you want/need to be on this opportunity? *I will make initial introductionI will drive the processNo need to involve me - proceed with contacting leadCopy me on all communicationOther (please explain)Single Line TextNextLead InformationPlease provide as much information as possible on the lead you are submitting so that we can be prepared when reaching out to them.Solution(s) Needed *Work Opportunity Tax Credit (WOTC) ScreeningVerification of Employment (VOE)Unemployment Insurance Claims (UI)LayoutBusiness Name *Website / URLContact Person *Job TitlePreferred Contact MethodEmailPhoneDescribe LeadDecision MakerInfluencerNot sureSelect IndustryHealthcareHospitality (Food/Bev, Lodging, Entertainment, etc.)ManufacturingProfessional ServicesRetailOtherHeadquarters (City, State)Email *PhoneTime ZoneEasternCentralMountainPacificAlaskaHawaiiPreviousNextLead QualificationPlease provide as much information as you can so we can be prepared when reaching out to the lead.Estimated Annual New Hires Selected Value: 1000 Estimated Headcount Selected Value: 1000 Are they a current client of your firm?YesNo (Prospect)Who do they use currently for the requested product?A competitor of WaltonThey are doing the work in-houseUnknownWhat's the name of the competitor?Select which scenario(s) best describes the opportunity.Looking for a new provider ASAP.Looking for a new provider in the near future (3-6 months)Experiencing service issues with current providerHappy with current provider but open to talkNeed better pricingConsolidating vendors (looking for a bundle)Upgrading technology (ATS, HMS, Payroll, HRIS)RFP/RFQ/RFI issued and accepting bidsOther (please explain)Single Line TextPreviousNext: Final ReviewUpdating preview…This is a preview of the information you entered. It has not been submitted yet! Please take a moment to verify the information. If you need to make any changes, simply click the "previous" button. Once you are ready, click submit and we'll take it from there.Consent *I AgreeThe information provided on this form is a lead referred to our partner, Walton and the information on this form is accurate. I understand that Walton will be in direct contact with the individual listed on this opportunity. Signature Clear Signature PreviousSubmit Ready to take your business to the next level? Request a demo of any of our products today and see how they can help you streamline your operations & boost revenue! Get started today!
