Multiple Application Form

(prepaid brands, terms, and payment providers)

 
application.png

Product/Service selection does not guarantee e-mazed.com will be your distributor for these products. E-Mazed.com will attempt to provide you referrals to quality organizations that match the services/producted you select that you interested in

Prepaid brands interested in *
Payment System interested in *
Owner Name *
Owner Name
Business Address *
Business Address
Business Phone Number *
Business Phone Number
Owner Cellphone Number *
Owner Cellphone Number
i. epay may charge back to Distributor or its Merchants, or set-off, recoup and deduct from any unpaid amounts then or in the future owed by epay to Distributor or it’s Merchants the total Merchant Activation Instant Spiff amount paid to Distributor or its Merchants, respectively, in connection with any Verizon Prepaid Product activation for which the Customer does not obtain a Verizon prepaid service refill for a second consecutive month. Distributor Activation Commissions and/or Merchant Activation Instant Spiffs will not be made, or, at epay’s discretion, epay may charge back to Distributor or its Merchants, or set-off, recoup and deduct from any unpaid amounts then or in the future owed by epay to Distributor or its Merchants all Distributor Activation Commissions and/or Merchant Activation Instant Spiffs incorrectly paid to Distributor or its Merchants, respectively, in connection with the activation of non-approved Verizon Prepaid equipment. epay, in its sole discretion, may terminate a Merchant for excessive chargebacks immediately. In the event of the termination of a Merchant due to excessive chargebacks, such Merchant will forfeit any unpaid Residual Commissions (defined below) as of the date of termination.