MaxMed - Reseller page

Registration

Welcome to the registration page! We are happy that you decided to join us! Please complete the following form to begin the registration.

Please complete the form with the dates of the authorized person in your company.

Forname and last name

Phone

Password

Repeat password

Job description

Legal name of the company

Registration / VAT number

Company registry number

Website address

Company bank name

Bank account number

Country

City name

Address