Fields marked with an * are required

  • Business Contact Information

  • Business Information

  • Responsible Parties

  • Payment Mode/Ordering System

***Please attach a copy of your CAC certificate, Annual license and Premises license
***All invoices are to be paid upon receipt of the invoice.
***Any claims arising from invoices must be made within seven working days of receipt of invoice.
***By submitting this Partner Application Form, you authorize Safco Mega Solutions to make inquiries into the business/trade references that you have supplied.