Complete the form to become a reseller. We will send login details, a price list, and a reseller contract to the contact person when we've processed the application.

Company registration number Enter your company registration number.
Name of company Enter your company's legal name.
Address Street name and number
postal code
Link to website Enter the URL to your company's website
Contact person Enter name of your contact person.
Email address Enter your contact person's email address.
Telephone Enter a telephone number for your contact person.
Anticipated customer access Please state how many customers you expect to set up during the first 12 months.
Message for ePay If you have any comments regarding your application, please enter them here.
Enter the code on the picture to the right Enter this code