Reseller Application Form:

By submitting the Agreement you indicate acceptance of the terms and conditions of agreement as stated in the "VAP Terms and Conditions"
(click here to view in new window)

If you have any questions, please phone us on (011) 234 5045 or send email to info@afrihost.com

VALUE ADDED PARTNER PROGRAM AGREEMENT

between

hereafter known as VAP

and

AFRIHOST INTERNET SERVICES

hereafter known as the Provider

Name :
Company Name:
Street Address:
Email :
Web Site URL :
Phone :
Fax :
Cell :
Id No :

Banking details for debit order purposes :

Bank :
Account Type :
Account Number :
Branch Name :
Branch Code :

Security Code:

BY CLICKING ON THE ACCEPT BUTTON YOU ARE AGREEING TO
THE VAP TERMS

Please contact us if you have any questions regarding the Value Added Partner Program.