Rep First Name
Rep Last Name
Rep Email
Rep Phone Number
Preferred Distributor Direct Ingram Micro Synnex AB Distributors Others
End User: School, District or Company Name
End User: First Name
End User: Last Name
Phone Number
End User: Email
End User: Street Address
End User: State/Region Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
End User: Postal Code
Product Line iPad Cases MacBook Cases Chromebook Cases Other Tablet Cases Other Laptop Cases Headphones / Headsets iPad Keyboards iPad Cable-Free Charging N/A
iPad Device Types iPad 5th - 6th Gen iPad 7th - 9th Gen iPad 10th Gen iPad Mini 1st - 4th Gen iPad Mini 5th - 6th Gen iPad Air 3rd Gen iPad Air 4th - 5th Gen iPad Pro (12.9-inch) 1st - 6th Gen iPad Pro (9.7-inch) iPad Pro (10.5-inch) iPad Pro 11-inch 1st - 4th Gen N/A
MacBook Device Types MacBook Pro 14-in. (2021) MacBook Pro 16-in. (2021) MacBook Air (M2, 2022) MacBook Air (M1, 2020) MacBook Air (Retina, 2020) MacBook Air (2017) MacBook Pro 13-in. (M2, 2022) MacBook Pro 13-in. (M1, 2020) MacBook Pro 13-in. (2020, two ports) MacBook Pro 13-in. (2016, two ports) MacBook Pro 13-in. (2020, four ports) MacBook Pro 16-in. (2019) N/A
Device Manufacturer (NO APPLE) Acer Asus Dell HP Lenovo Other Brand N/A
Audio Device Model Headset (3.5MM Jack) Headphone (3.5MM Jack/No Mic) Headset (USB) N/A
Device Model
Quantity 1 - 99 100 - 1000 1000+
Expected Deployment Date ASAP < 5 months 6- 12 months 1 year +
Sample Needed? YesNo
Is this for a Pilot Program? Sample Only Pilot Program Purchase
Have you purchased Brenthaven products before? Yes No Not Sure
Yes, I agree to receive information regarding my inquiry.
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