Interested in becoming a Reseller/Referral Partner?

(if you are already a Reseller please scroll down to submit new Merchants)

If you are an ISO, marketing agency, development shop, consultant, or anyone else that has contacts and clients that sell goods and services online or over the phone; and are interested in adding additional value to your clients while creating a residual stream of income please fill out the form below. If you have any questions feel free to reach out to resellers@shopguarantee.com.

Company Name

Contact Name

First Name

Last Name

Email Address

Website

http://

Phone

(###)

###

####

Notes

Give us a little background on yourself or your company.

Existing Reseller/Referral Partners:

UI Integration Guides

New Merchant Submission Form:

Please complete the form below with as much detail as possible to expedite the implementation process and ensure the agreements are correct and in order. If you have any questions feel free to reach out to resellers@shopguarantee.com.

Reseller Company Name

Please use the legal name that your agreement is signed under.

Reseller Email Address

Reseller Contact Name

First Name

Last Name

New Merchant Name

Please use legal name but you can put DBA if applicable in notes below.

New Merchant Website

http://

Product Sold

Please choose which product was sold.

Merchant Contact Name

First Name

Last Name

Merchant Email

Merchant Phone

(###)

###

####

Merchant Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Type of Product/Service Merchant Sells

Estimated Monthly Policies

Please estimate the number of monthly policies from this new merchant.

Implementation Details

Please include any details on Platform, Gateway, CRM, etc.

Additional Notes

Any additional information that is helpful to understand in regards to this new merchant.