Perimify Dealer Application

Fill out the form, choose a password and hit submit!

Business Name

Website URL

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Phone * (to be shown on Permify.com)

Upon approval, list my business on the authorized dealer page

Email *

Create a password *

At least one upper case, one lower case
and one number. Minimum of 8 characters

BY CHECKING THE “ACCEPT" BOX YOU: (i) REPRESENT THAT YOU ARE DULY AUTHORIZED TO ENTER INTO A BINDING AGREEMENT ON BEHALF OF YOUR COMPANY AND (ii) ACCEPT THESE TERMS AND AGREE THAT YOU ARE LEGALLY BOUND BY THEM. IF YOU DO NOT AGREE TO THE TERMS OF THIS AGREEMENT, DO NOT CHECK THE "ACCEPT" BOX.

Perimify Dealer Application

Reseller Agreement

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