You are required to sign our Non-Disclosure Agreement (“NDA”) prior to being granted access to PartnerConnect. This NDA must be executed in order to gain access to the site even if you have already executed an NDA with the organization for another purpose. This NDA is specific to PartnerConnect and governs your access and use of materials and documentation on the site. Since access to PartnerConnect does not require your disclosure of confidential information, this is a one-way, or unilateral agreement.
Vendor Company Name
*
First Name
*
Last Name
*
Email
*
example@example.com
Do you already have a W9 on file with our organization?
*
Yes
No
Vendor Company Name
*
First Name
*
Last Name
*
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
Technical Contact First Name
*
Technical Contact Last Name
*
Technical Contact Email
*
example@example.com
Tech Phone
*
Please enter a valid phone number.
Vendor Email
*
example@example.com
What information are you requesting? (Select all that apply)Type a question
*
SSO to DX Online Card Management
SSO to Bill Pay
SSO to CURewards
API Data Exchange
API Mobile Bill Pay
Other (Please provide detailed information.)
What is the purpose for this request?
*
Mutual Client (Please provide client's name)
Testing Purposes
Other (Please provide detailed information.)
Mutual Client:
Are you currently working with one of our representatives?
*
Yes
No
If yes, please provide contact information.
Please upload your W9
*
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