XIOT Partner Registration FormPlease enable JavaScript in your browser to complete this form.Name / Company Name *Primary Contact *FirstLastPhone Number (Mobile) *Phone Number (Office) *Registered Address *Verified Email Address *Website URL *Describe your business profile *Describe your Business ProfileResellerIntegratorFleet Service ProviderOtherYears in Business * Primary Non telematics No. of Employees *Industries Served *Current Fleet Solutions Offered *Current Fleet Solutions OfferedRecoveryTrackingFleet ManagementTelematicsCamera TelematicsSoftwareDevice HardwareSoftware PlatformsPartnership Goals with XIOT *Partnership Goals with XIOTWhy do you want to join the XIOT Partner Program?Which tier are you applying for? (Registered / Certified / Strategic)Big sales potential with XIOT solutionsThird ChoiceDo you agree to adhere to XIOT’s Partner Agreement and Non Compete Assurance? *YesNo• Do you have existing partnerships with other telematics providers? *YesNoIf you have existing partnerships, please explain briefly *Please Send Supporting Documents to: sales@xiot.co.zaCompany registration certificateTax clearance certificateProof of business addressI declare that the above information is true and correctDeclaration: I hereby declare that the information provided above is true and accurate. I understand that submission of this form does not guarantee acceptance into the XIOT Partner Program and that XIOT reserves the right to review and approve applications.Submit