returnBOX Ltd. Online software for returns with pick up service

We are pleased that you have decided for co-operation with us. We still need some data from you, to create your reseller account. The following fields are important:

- RMA means "Return of Material Authorization". This term is common in the computer trade and meant that an
  authorization number has to be assigned before reshipment. That means that your customer first place an RMA
  request and you decide what happen with it.

- Your company name should be entered correctly, as its known by your customers. This name appears also in the
  automatically generated e-mails to your customers as sender.

- If your RMA departmant can be reached with a separate e-mail address please enter this. Then we will send RMA
  requests to this address and invoices to your default address.

Company data

Company name:		*
2. Line:
Company VAT ID:

Contact person

Salutation:	Mr. Mrs.	*
First name:		*
Last name:		*
E-Mail address:		*
E-Mail address RMA Dep.:		*

Your invoice address

Street/No.:		*
Suburb:
Post code:		*
City:		*
Country:	*

Your bank account

Account owner:		*
Bank name:		*
Bank branch number:		*
Account number:		*

We authorize returnBOX Ltd. revocably to draw in those payments which can be made debited to our above bank account by debit.

If our account does not exhibit necessary covering, no obligation exists for redemption on the part of the account-prominent credit institute.

Partial redemptions are not made in the debit process. We take knowledge that a drop back debit process leads to the immediate blockage of the returnBOX account.

Agree to debiting authorisation:

Your contact information

Phone number:		*
Fax number:
Newsletter

Your password

Password:		*
Confirmation:		*