Partner Registration Form

Partner Information:

User: Password:

Name:

Website: Email:

Address: Number:

County: City: ZC:

State: Phone: Mobile

Images:

*Please, send images requested on the dimensions below by email:

Logo (width max. 290px) Image (width max. 364px – this image will be placed beside partner description)

Coordinates:

As I find it on Google:

1) Go to the address: http://maps.google.com/

2) Insert the address related – check if you have found a correct address;

3) Please click with right botom of your mouse on the red flag on the map

4) Select:“What’s here?”

5) Copy the coordenates

6) Paste on the Coordenates space above.

Bank Details:

Bank

IBAN

SWIFT

Partner Details: (Desccription about you and your business)