Associate/Vendor Registration

To become a 'Registered'Associate and/or Vendor with PCI (and its affiliated programs), simply fill out the information below. You will not be asked to submit any financial information because there is NO required investment to be associated with Procard International, llc. All fields marked with ( * ) are required.

After submitting the information you will receive your new Access Code and easy to follow instructions for starting a relationship with Procard International, llc.


             
            Access Code:
       
            If none, please enter how you found out about PCI
 

 Your Information

*First Name: 
 
   
Middle Initial:   
*Last Name:     
*Date of Birth:       
*Gender:   
*Address:   
Address 2:   
*City:   
*State:    (Required for US & Canada)
*Zip Code:   
*Country:   
*Home Phone:   
Cell or Work Phone:   
*E-mail:     
 Registration Information
Your Access Code will be created automatically by our system. You can choose your password by entering it into the two fields below. It needs to be a minimum of 4 and a maximum of 12 characters.

*Create a Password:    
*Confirm Password:

  
   
Procard International, llc. Associate/Vendor Independent Contractor Statement
To be an Associate and/or Vendor with Procard International requires reviewing and electronically signing our Independent Contractor/Vendor Statement. This statement provides you the guidelines of being an Independent Contractor, and it reconfirms that NO purchase or investment is required to be associated with Procard International. Please review the statement, check the box, and enter your last name in the box underneath.
    Print-Version     
New Benefits Marketing Representative Acknowledgement
    Print-Version     
I have read the terms and conditions stated in the Independent Contractor Statement and New Benefits Marketing Representative Acknowledgement. My signature below will verify that I agree to its content. 

Please Note: (2) electronic signatures are required
Please enter your last name which will serve as your signature(1):   Procard International  
Please enter your last name which will serve as your signature(2):   New Benefits  



3 Easy Steps:
1. Review Career Info
2. Become an Associate
3. Start your Career