Become a MaxoTel Partner

Name: Maxo Telecommunication
Address: Office 8/189 Anzac Ave, Harristown, Queensland, 4350, Australia

Account Type
Account Type
Business Scenario
Selling Method	Online Sales Retail Shop Salesperson Existing Customers
Partner Portal Login Details
Username:	(min: 6 characters including 1 number)
Password:	(min: 6 characters including 1 number)
Account Holder Details
Title:
First Name:	If you're not the business owner, please provide your details in the tech contact below.
Middle Name:
Last Name:
Email:
Mobile No.:	This number will be verified.
Additional Contacts
Do you have an Accounts Payable Department:
Do you wish to nominate a technical contact:
Accounts Contact
Full Name:
Email:
Phone No:
Fax No:
Mobile No.:
Tech Contact
Full Name:
Email:
Phone No:
Mobile No.:
Business Details:
Business Name:
ABN:	*It is a requirement that your ABN is registered for GST and matches the business name above*
Bank BSB:	(For Channel Partner Commission Payments)
Bank Account:	(For Channel Partner Commission Payments)
Phone No:
Postal Address:	(PO Box or your street address)
City:
Post Code:
State:
Country