High Risk Form Your InformationToday's Date* Date Format: MM slash DD slash YYYY Account Manager Name* First Last Account Manager Phone Number*Sales Manager Name* First Last Channel*BasePremierCustomer Account DetailsOrganization Name*Account Number(s)*Other Channels Involved Direct Agent Names of other sales personnel involvedCurrent Number of Locations*Number of Locations Not Serviced (if known)Contract End Date(s).*Include multiple location information if applicable.Total Account MRC*Potential ETF and ETL amountsWhat are the primary issues driving this High Risk submission (choose all that apply)? Pricing Product Performance Product Availability Technical Billing Corporate Consolidation Company Downsizing Other If "Other", please explain issue driving this High Risk submission*Describe the critical account issues – How did the customer reach the point of being placed on a High Risk Report?*What has been done to resolve the issue(s)?*List key products and services purchased by the account. Provide location information if applicable.*Have Managed Services products been discussed with the account?*NoYesWhat Managed Services products have been discussed with the customer?*What were the results of the Managed Services product discussions (if applicable)?Describe what is known about the competitive situation*Has a Solutions Architect recently been involved with the account?*NoYesIf "Yes", describe Solution Architect involvement*Has an NSR been submitted?*NoYesHas a proposal been submitted to the customer?*NoYesWhat are the primary elements of the proposal?*Has there been a strategic account discussion with your Sales Manager as required?*NoYesIf "Yes", what were the action items that resulted from the Sales Manager discussion?*What help do you need?*