ELDAx PARTNER PROGRAM – Registration Reguest Form

Partner's company description and identification

Please fill information about Partner company. It can be presented in Paertner section on ELDAx web site.

Partner's company name *

Partner's identity number (IC) *

This is the most important field. This field will connect Partner’s account with ELDAx licences and services. Please carefully verify, that Company Identification Number is correctly.

Partner's company profile

Share a little information about company. This text will be presented on ELDAx web site in Partner cection.

Partner's logo

Click or drag a file to this area to upload.

Share a logo of company. This text will be presented on ELDAx web site in Partner Section.

Partner's responsible person - user information

Please fill few personal information for creating user account in ELDAx web site.

Name *

Křestní jméno

Příjmení

Position *

Select what is your position in Partner's company.

Email *

Email will be uses as UserName for ELDAx web site.

Password *

Password

Confirm Password

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