Intertest, Inc

Username:
Password:

We are committed to ensuring that your information is secure. In order to prevent unauthorised access or disclosure we have put in place suitable physical, electronic and managerial procedures to safeguard and secure the information we collect online.

Company Information

Last Name:

First Name:

Title:

Address:

Address (con't):

City:

State:

Zip Code:

Phone:

Fax:

Email Address:

Primary Markets Served:

Additional Markets Served:

States Covered:

Lead Referral Form Use

I agree that I have reviewed the InterTest Lead Referral Form and understand that this form must be completed and submitted to my Reseller Manager in order for me to receive credit for a lead referral.

Terms & Conditions Document

I understand that I have read and agree to the Commission Based Terms & Conditions document. By checking this box I understand that I am accepting these Terms & Conditions.

Commission Payment

I understand that I have read and agree to the Commission Payment procedure as outlined in the Commission Based Terms & Conditions document. By checking this box I understand that I am accepting these Terms & Conditions.

Final Authorization

I attest that the above information is correct and that I have read and agree to the Terms and Conditions document. By checking this box I understand that I am accepting all of the outlined Terms & Conditions.


Contract & Agreement Terms & Conditions Reseller Applications
Tier3

Legal Disclaimer | Contact Intertest | Site Map