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Thank you for your interest in becoming an Indirect Dealer Agent.  The Xentris Indirect Sales Team will contact you after completing the registration process.

  • Before you begin the registration process, please review the Dealer FAQ page.
  • If you are a previous Xentris or VZW Dealer customer, you must re-register to access the new Dealer Agent Portal.

ONLINE Registration : (Complete all forms and submit electonically)


Start Online Registration


Online Credit Application


Need Help?


You will be guided through registering your company as an Indirect Dealer Agent

(Required by all Dealers)



Complete a Dealer Credit Application using the button below.


Via Phone: 866.XEN.ACES (936-2237)
Via Email: Click Here
Via Contact Us: Click Here

Begin Registration
Credit Application
Customer Service


OFFLINE Registration : (Download, Complete and return to Xentris)

pdf pdf pdf pdf pdf
Registration Form MAP Agreement Credit Application IL CRT-61 Form CCard Auth

Completed forms can be: emailed: faxed: 630.693.9888

Xentris Customer Service: 866.XEN.ACES (936-2237)

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Xentris occasionally sends company news, product information and promotional data via email.  If you wish to receive these emails, please use the form to sign up.

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