Case Study/Use Case Submission Form

Use this form to share customer successes with the Marketing team, and we will do something neato with it.

Customer Information

Sales Rep Name

Territory/Region

Date

Company Name

Industry

Facility Type

City

State

Primary Contact Name

Primary Contact Title

Primary Contact Phone

Primary Contact Email

Can we publicly mention the customer's company name?

YesNo

Can we publicly use the primary contact's name?

YesNo

Can we publicly use the customer's official company logo?

YesNo

Background / Situation

Brief description of the customer’s operation and environment

What triggered the need for a solution?

The Problem

Describe the challenge

Compliance concerns

Operational or safety risks

UltraTech Solution

UltraTech product(s) used (names / SKUs)

Why this product was selected

How it was implemented / installed

Results & Impact

Outcome after implementation

Customer feedback

Customer quote (if approved)

Previous or Alternative Solution

What was previously in place?

Why was it inadequate?

Photos & Visuals

Photos Upload

Describe what each photo shows