Form - TD Internal Demo Request - Tobii Dynavox Global

TD Internal Demo Request

Welcome to Customer Service! Please use this form to request devices for internal use (not for placements or trials). The request will create a case in Salesforce and you will receive an automated answer from there. If you would like to share additional information about your request, just reply to that email and it will automatically update the case and notify us to take action.

First Name* Last Name* Email*

What is contact person´s phone number?*

(With country code please.)

Department of contact person?*

What is project (R5) number linked to this request?

(To be populated only when required. Check with manager if necessary.)

What is article number that you are interested to demo? Please provide its description as well.*

(If unsure, here is a link to Partner Pricelist for help with item numbers and descriptions)

What language would you like to have installed on this device?*

Has this request been approved by line manager? Yes No

Where would you like to pick up your demo device? Pick up in the office Ship to specified address

Any other comments linked to request?