Complete the form below to enroll as an HostSG Reseller. Once we receive your completed enrollment form, our staff will contact you to activate your account and accept payment information for the $50 program enrollment fee.

Reseller Application Form Name : Company :   Company Registration Number (RCB). :   Address:   Email :   Phone :   Are you an existing HostSG customer? Yes No Website URL :   Expected Sales Volume in a month :   Number of Customers:   1-24   25-49   50-99   100-299   300+   Remark:     Note: Payment of S$50.00 enrolment fee is accepted by Cheque only   words in bold are required field.