OPTM360

Eaton 360 Participant Request Form

To register yourself for the Eaton 360, please complete the following information below. 
Participants will receive an email with important next steps within 1 business day.

Participant Information

First Name*:
Last Name*:
Job Title*:
Work Email Address*:
Employee Number (e.g. E0123456)*:
Are you a Manager of People?*:
Please Select Region*:
Please Select Business Group*:
Please Select Job Function*:
Direct Manager's Name*:
Direct Manager’s Email Address*:
HR Manager's Name*:
HR Manager's Email Address*:
* Please double-check all the details before you continue to the next section.

Complete this section if your Finance Dept requires details for your invoice.

Eaton Billing Address

Company Name:
Full Street Address:
City:
State:
Zip/Country Code:

Other Details

Eaton VAT ID Number:
Ledger Details:
Activity Center Details:

Payment

Payment Method
Pay with Credit Card
Payment Summary
Survey Fee
Quantity
Fee
Total
1
$189
$189
Total
$189.00
I agree to the Privacy Policy and Terms (Payment for OPTM360 On Demand products is non-refundable. Subject licenses expire at the end of the calendar year in which they are purchased. Credit will not roll-over to the next calendar year.)