ITT Industrial Process Group ePrism / evPrism User Registration Form 7.11 If request is for Valves (all Regions), email this form to Tammy Almond Tammy.Almond@itt.com If request is for Pumps (US, Canada), email this form to Tammie Tammie.Playford@itt.com If request is for Pumps (EMEA,AP), email this form to Zoe Sourliga zsourliga@itt.com Please note: * indicates required field This person is: ITT-Employee UserId/Network Login: *First Name: *Company Name: *Street Address: *City / State: *Country: *Role: *Phone Number: Distributor (This is your network login user ID) *Applicable to ITT Users Only *MI: USA Extension: *Last name: *Zip Code: Other: Please specify: *Fax Number: *Email Address: *Manager Name: *Hiring Date (mm/dd/yy) Model Rights (only for below roles) *Applicable to ITT Users Only Product Manager Marketing Manager Product Specialist Delivery Specialist Cost Editor *If any of the above is selected, please specify below: ePrism Model Manufacturing Location USER ACCESS LEVEL – PLEASE INDICATE WHAT FUNCTIONS THIS USER REQUIRES: Application ePrism (*specify rights from below list) EQL APSIS (*specify rights from below list) DocWare (*specify rights from below list) TrakITT (*specify rights from below list) ProBill (*specify rights from below list) Pattern Access to Reporting Services Site Rights per Application ePrism/Pumps Order Status Pump Selection/Quotation/Order Entry Parts/Quotation/Order Entry Place Stock Order (applicable to US distributors) Aftermarket Quote Retention BOM Access Submit Intercompany Order Can print Price Book Upload to ERP (please specify Proposal Type) ePrism/Valves * Requires approval from Valves Sales Management Valves Selection/Quotation/Order Entry Pump Part Service ePrism Bornemann Rights Design Department Twin Screw Only (including SLH) Factory Only SLH Only (Food & Pharma) Selection Only PC Pumps Only APSIS Manager (Aftermarket) Manager (Asia Pacific) Manager (Australia) Manager (China) Manager (EMEA) Manager (India) Manager (Latin America) Manager (North America) DocWare (Full Rights) Project Manager Contract Engineer Design Engineer Document Specialist QA Document Specialist Nameplate DocWare (Read Only Rights) TrakITT Contract & Project Admin Contract & Project Engineer Document Specialist Project Manager Order Receipt Front End Buyer PSR Designer Engineer PDM Master Planner CSR Export Dept R & D Engineer Global Project Manager Product Engineering LOD Master Planner R & D BOM Technician Test Engineer TrakITT (Read Only Rights) ProBill Task Owner Milestone Approver Limited / No Invoicing ProBill (Read Only Rights) Notes (Specific visibility rights for ePrism/EQL reports, General notes) *Date Submitted: *Submitted by: *Approval by Manager: