Become a partner - Distinco

Partner registration

South Africa

<div class="row"><div class="col-xs-12 c-f-field-type" data-field-type="text"><div class="form-group"><label for="text-1686066270105">Company name</label><span>*</span><input type="text"  name="text-1686066270105" placeholder="Company name" class="form-control" required data-msg-required="This field is required."></div></div></div><div class="row"><div class="col-xs-12 c-f-field-type" data-field-type="text"><div class="form-group"><label for="text-1686066330352">Company registration number</label><span>*</span><input type="text"  name="text-1686066330352" placeholder="Company registration number" class="form-control" required data-msg-required="This field is required."></div></div></div><div class="row"><div class="col-xs-12 c-f-field-type" data-field-type="text"><div class="form-group"><label for="text-1686066377951">Contact person</label><span>*</span><input type="text"  name="text-1686066377951" placeholder="Contact person" class="form-control" required data-msg-required="This field is required."></div></div></div><div class="row"><div class="col-xs-12 c-f-field-type" data-field-type="text"><div class="form-group"><label for="text-1686066401999">email address</label><span>*</span><input type="text"  name="text-1686066401999" placeholder="email address" class="form-control" required data-msg-required="This field is required."></div></div></div><div class="row"><div class="col-xs-12 c-f-field-type" data-field-type="text"><div class="form-group"><label for="text-1686066434639">Tax ID Number</label><input type="text"  name="text-1686066434639" placeholder="Tax ID Number" class="form-control"></div></div></div><div class="row"><div class="col-xs-12 c-f-field-type" data-field-type="text"><div class="form-group"><label for="text-1686066795590">Services</label><span>*</span><input type="text"  name="text-1686066795590" placeholder="Services" class="form-control" required data-msg-required="This field is required."></div></div></div><div class="row"><div class="col-xs-12 c-f-field-type" data-field-type="text"><div class="form-group"><label for="text-1686067474068">website address</label><input type="text"  name="text-1686067474068" placeholder="website address" class="form-control"></div></div></div><div class="row"><div class="col-xs-12 c-f-field-type" data-field-type="file"><div class="form-group"><label for="file-1686066905403">Company profile</label><input type="file"  name="file-1686066905403" placeholder="Company profile" class="form-control"></div></div></div>