1PSIM Reseller Approval Form
You must be a legitimate US entity to become a 1PSIM Reseller.
Company Information
Company Name
Enter your US company name.
Website
Enter your company website
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the country of your registration
Country
Company Principal
Principal Name
First Name
Last Name
Position
Email Address
Please provide valid company email and not FREE email account.
Contact Number
Please enter a valid US phone number.
Principal's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Enter your country of residence:
Country
Company Background
EIN Number
How many years in business?
Company Overview
Target Segment/Market
Channel/Distribution Strategy
Online distribution
Brick and Mortar
National Retail
Direct Sales Organizaiton/Reps
Third party distribution
Other
Forecasts / Pricing
Are you currently selling wireless service in the market?
Which network you are reselling for currently? Will you migrate over?
How many months do you anticipate your customers will typically renew their service for?How many months will your customers renew for the service.
1 month
2 months
3 months
More than 3 months
Background Information
Company Incorporation Documentation
Browse Files
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Choose a file
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of
Proof of Address
Browse Files
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Choose a file
Principal's bank statement or utility bills.
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of
Please acknowledge each of the following statement to continue our approval process:
You have implemented a formal Know Your Customer (KYC) process for all your customers.
You ensure that your customers will not engage in fraudulent activities using our services.
You agree to comply with all U.S. federal and state sales and regulatory tax requirements.
You understand that if you or your customers use our services for fraudulent activities, as reported by lawful agencies, your access to our services will be terminated.
Signature
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Continue
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