Enter your Users first name
Enter your Users middle name, this is an optional field
Enter your Users last name
Enter your Users Mobile Phone number
Format should be + Country Code City Code Phone Number
Enter your Users Telephone Number
Format should be + Country Code City Code Phone Number
Enter Users email address here for any messages that should be sent to you from WCAworld PartnerPay
Click here and save to Freeze this user from access to the WCAworld PartnerPay system
Once you have completed this section of the form click the Save button to record your information.
Click the cancel button to clear this section of the form