Registration Form
Are you a new Mitel User Group member, or a returning Mitel User Group member?
New
Returning
Is someone from your company currently an approved Mitel User Group member?
Yes
No
Name:
How did you hear about us?
Select One:
Contact Name:
Channel Partner
Mitel Representative
Mitel.com
Mitelusergroup.com
Internet Search
Word of Mouth
Other
Contact Company:
Personal Information
Salutation
First Name
Last Name
Select One
Dr.
Frau.
Herr.
Mme.
Ms.
Mr.
Mrs.
Sir.
Sr.
Sra.
Job Role
Job Title
Select One
Account Manager
Administrator
Analyst - Financial/Investme
Analyst - Industry
Channel Principal
Communications Manager(Telep
Company Secretary
Consultant
Contact Center Director
Contact Center Manager
Coo
Cto
E-Govt Representative
Finance
Finance Director / Cfo
Finance Manager
General Manager
Hr Director
Hr Manager
It Director / Cio
It Manager
Legal
Marketing Director
Marketing Manager
Media
Operations Manager
Owner/Md/Chairman/Ceo
Project Manager
Purchasing Director
Purchasing Manager
Regional Account Manager
Regional Vp
Sales Account Manager
Sales Director
Sales Engineer
Sales Manager
Sales New Business
Sales Technical
Secretary / Pa
Service Manager / Contact
Technical Engineer
Technical Manager
Technician
Telecoms Director
Telecoms Manager
Training Manager
Telephone number
E-mail address
Confirm E-mail address
Organization Name
Office address
Home address
Address 1
Address 2
Address 3
City
Country
State/Province
Select One
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRITISH VIRGIN ISLANDS
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DEMOCRATIC REPUBLIC OF THE CONGO
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FEDERATED STATES OF MICRONESIA
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTH KOREA
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE NATIONAL AUTHORITY
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN ISLANDS
POLAND
PORTUGAL
PUERTO RICO
QATAR
REPUBLIC OF MOLDOVA
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
Select One
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SOUTH KOREA
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
THE FORMER YUGOSLAV REPUBLIC OF MACEDONIA
TIMOR
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
US VIRGIN ISLANDS
USA
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Zip/Postal Code
To establish your Mitel OnLine username and password
With your approved Mitel User Group membership, you will gain access to Mitel OnLine, Mitel's password protected extranet site.
User Name:
Password:
Confirm your password:
Enter a reminder for your password:
Additional Information
How long have you been with this company?
Select One
2 or less
2-5 yrs
5-7 yrs
7-10 yrs
over 10 yrs
How many locations does your company have?
How many users does your company have?
How long has your company been a Mitel user?
Select One
2 or less
2-5 yrs
5-7 yrs
7-10 yrs
over 10 yrs
Would you be interested in being a reference account for Mitel (sales and/or media)?
Yes
No
Why are you interested in joining the Mitel User Group?
Please identify the Mitel solutions installed within your company
*Hold the 'Ctrl' key to select multiple items
INTER-TEL AXXESS
INTER-TEL MESSAGING
MITEL 3000 COMMUNICATIONS SYSTEM (CS)
MITEL 5000 COMMUNICATIONS PLATFORM (CP)
MITEL APPLICATIONS SUITE
MITEL BORDER GATEWAY
MITEL CALL ACCOUNTING
MITEL COMMUNICATIONS DIRECTOR (MCD)
MITEL COMMUNICATIONS SUITE
MITEL CONTACT CENTER BUSINESS EDITION
MITEL CONTACT CENTER ENTERPRISE EDITION
MITEL DESKTOP DEVICES
MITEL EMERGENCY RESPONSE SYSTEMS (ERS)
MITEL LIVE BUSINESS GATEWAY
MITEL MESSAGING SERVER
MITEL NUPOINT MESSENGER COMMON PRODUCT
MITEL NUPOINT MESSENGER (640)
MITEL QUICK CONFERENCE
MITEL SX-200
MITEL SX-200 IP COMMUNICATIONS PLATFORM
MITEL SX-2000 LIGHT
MITEL UNIFIED COMMUNICATOR (UC)
MITEL UNIFIED IP CLIENT FOR SUN RAY
MITEL YOUR ASSISTANT
VIDEO CONFERENCING SOLUTIONS
WIRELESS SOLUTIONS - SPECTRALINK
If you have multiple locations, are your solutions networked?
Yes
No
Questions
Do you currently use applications provided by alternate manufacturers? If so, please indicate below:
IP/PBX Platforms
Yes
No
Manufacturer
Voicemail
Yes
No
Manufacturer
Call Accounting
Yes
No
Manufacturer
Wireless
Yes
No
Manufacturer
What would you say is the most important area of your business where a telecom solution provider could benefit your company
Are you currently using any unique applications other than those indicated above? If so, please state type and manufacturer.
What are your future telecommunications goals? Short term/long term?
Membership Information
Membership Dues :
$249.00US
$99.00 US per additional adjunct member
Make cheque payable to :
Mitel User Group, Inc.
Remit to :
Diane Arnold
Mitel User Group, Inc.
207 Clover Avenue
Savoy, Il 61874-9493
Telephone Number :
(217) 244-7448
NOTE:
Thank you for applying for membership in the Mitel User Group. Upon submitting your application; an approval process will determine your elidgibility. Once your elidgibility has been confirmed, you will receive an email including an invoice for dues (if applicable). After the payment has been received, you will receive an email providing your MOL access information.
Mitel will process by computer (or otherwise) information requested on this form as a result of this enquiry. In addition, it may be necessary to pass the information provided onto Strategic Partners, Resellers and Distributors of Mitel in order to enable Mitel and / or its representatives to provide the information requested.
Additionally, Mitel would occasionally like to keep you informed about products and information which may be of interest to you, either by mail, telephone, fax or e-mail.
If you DO wish the personal data to be used for this particular purpose then tick the appropriate boxes:
all
e-mail
telephone
fax
post
sms
If you DO NOT wish the personal data to be used for this purpose then the tick this box
Back
Next