SMX Reseller Provisioning Form

Business Name *

Contact Name *

Phone *

Street Address *

Suburb/ City *

State/ Province *

Postal Code *

Full Name *

Role *

Email *

Phone

Reseller support email address: *

Billing To *

Attention Name *

Billing Street Address *

Billing Suburb/ City *

Billing City *

Billing Country *

Billing Postal Code *

Email *

Phone

User Details

Everyone on this list will be provided with an online login to the monitoring and reporting tools.
Additional Users will show after filling out the first user details .

Note: Connectivity to the Client’s Mail Server from SMX must be established prior to adding the Client’s domain to the SMX Email Admin Portal.

Full Name 1 *

Email 1 *

Phone

User Role 1

User Access Level Required *