Email Address and Business Card Request Form

Please fill out this form to receive a Perigee email address and business card. You will need to comply with all Perigee Policies and Procedure to use the Perigee name or Perigee, Powered by MRP logo.

Please complete this form to receive a Perigee email address and business card. You will need to agree to Perigee Sales Policies and Procedure to use the Perigee name. Your Email address will appear as [email protected]. Please include a recent headshot for the business card and for use with relevant Perigee promotions in your territory. The policies may be updated from time to time and continued use of the email address or business card requires an active sales rep contract and compliance with the policies and procedures.

Name to be shown on business card(Required)

First Last Suffix

Current Business Email(Required)

Phone to be shown on business card(Required)

Your Location to be shown on business card(Required)

City State / Province / Region

Territory description(Required)

Include a short description of your territory

Upload a recent headshot(Required)

Accepted file types: jpg, png, Max. file size: 2 MB.

I am Requesting

An email address

Business cards

I have read and agree to comply with Perigee Sales Policies and Procedures

Yes

The Perigee Sales Policies and Procedures are at https://my.perigee.com/category/sales/policy/

2023-11-14T09:15:00-08:00