2114 Tech Sales Lead:

Tech Name: Shawn Francis Jr
Customer Type: New Customer
Company Name: Parc Central
Street Address: 1195 NW 132nd Street
City: North Miami
State:
ZIP Code: 33168
Lead Type: {Lead Type:9}
Amount Sold:

Customer Details:

Customer Name: Lucio Salas
Phone Number: 7863200836
Email Address:

Service Information:

Service Requested: GPC
Additional Notes: Must be assigned to submitting Tech

Entry Details:

Entry Date: {Entry Date}