SFDC test page

For use only by Ecolab Customer Service. If you have arrived on this page by mistake, please call Customer Service at 1-800-352-5326

Customer Information

*Division Phone Prompt Select the division that should follow through on this lead.

*Current Customer

Yes

Verify in Mainframe/SAP that the Caller does not have a current Customer Number. If they have a current Customer Number, Send an ESR message to the Rep, instead of completing this form.

*Previous Rep Contact

Yes

If YES, then send an ESR message to the rep and continue the interview and form. If NO, continue the interview and form.

Ecolab Rep Name Write the name of the Rep mentioned by the Prospect and to whom the ESR message has been sent.

*Full Name

*Company

*Business Type

*Address

*City

*State/Province

*Zip Code/Postal Code

*Country

*Phone

*Email

*Request Type

*Notes - Ask the caller how Ecolab can help them
Add additional information about the customer and their need/request, specifically the area of product interest. Please add any and all information that will help the field associate serve the customer promptly.

Indicate the Name of the Preferred Distributor or Supply Partner, if Applicable If Institutional, ask the prospect if they use a foodservice distributor or lodging supply partner and note the name of the partner in this field.

*When is the Best Time to Reach You?

*Urgency

*Customer Service Agent - Global ID

Customer Service New Phone-In Lead Form