Register to e-Services

I am interested in registering on behalf of my company to transact business online with Proximus Wholesale.
I am an employee of the company and I am authorized by my company to make this request. :

Register to our e-Services to benefit from the various range of online e-Tools & applications. By using the registration form below, you can select the different e-Services to which you need access to. Our Customer support will then register your request and you will receive your personalised login and password on the email address provided by you.

Tous les champs sont obligatoires, sauf ceux qui sont mentionnés comme "facultatifs".

Your data

{{errorMessages.title.required}} {{errorMessages.title.pattern}}
{{errorMessages.firstname.required}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname}} {{errorMessages.firstname.pattern}}
{{errorMessages.name.required}} {{errorMessages.name.pattern}} {{errorMessages.name.pattern}} {{errorMessages.name.pattern}} {{errorMessages.name}} {{errorMessages.name.pattern}}
{{errorMessages.email.required}} {{errorMessages.email.pattern}} {{errorMessages.email.pattern}} {{errorMessages.email.pattern}} {{errorMessages.email}} {{errorMessages.email.pattern}}
{{errorMessages.phone.required}} {{errorMessages.phone.pattern}}
eg. +32 2 123 45 67 {{errorMessages.fixed.required}} {{errorMessages.fixed.pattern}} {{errorMessages.fixed.pattern}} {{errorMessages.fixed.pattern}} {{errorMessages.fixed}} {{errorMessages.fixed.pattern}}
eg. +32 471 23 45 67 {{errorMessages.mobile.required}} {{errorMessages.mobile.pattern}} {{errorMessages.mobile.pattern}} {{errorMessages.mobile.pattern}} {{errorMessages.mobile}} {{errorMessages.mobile.pattern}}
{{errorMessages.company.required}} {{errorMessages.company.pattern}} {{errorMessages.company.pattern}} {{errorMessages.company.pattern}} {{errorMessages.company}} {{errorMessages.company.pattern}}
{{errorMessages.cust_id.required}} {{errorMessages.cust_id.pattern}} {{errorMessages.cust_id.pattern}} {{errorMessages.cust_id.pattern}} {{errorMessages.cust_id}} {{errorMessages.cust_id.pattern}}
{{errorMessages.login.required}} {{errorMessages.login.pattern}} {{errorMessages.login.pattern}} {{errorMessages.login.pattern}} {{errorMessages.login}} {{errorMessages.login.pattern}}

Your selection

Pre-Checks and Ordering (facultatif)
{{errorMessages.prechecks_and_ordering.required}} {{errorMessages.prechecks_and_ordering.pattern}}
{{errorMessages.prechecks_and_ordering.required}} {{errorMessages.prechecks_and_ordering.pattern}}
{{errorMessages.prechecks_and_ordering.required}} {{errorMessages.prechecks_and_ordering.pattern}}
{{errorMessages.prechecks_and_ordering.required}} {{errorMessages.prechecks_and_ordering.pattern}}
e-Care (facultatif)
{{errorMessages.ecare.required}} {{errorMessages.ecare.pattern}}
{{errorMessages.ecare.required}} {{errorMessages.ecare.pattern}}
{{errorMessages.ecare.required}} {{errorMessages.ecare.pattern}}
{{errorMessages.ecare.required}} {{errorMessages.ecare.pattern}}
{{errorMessages.ecare.required}} {{errorMessages.ecare.pattern}}
{{errorMessages.ecare.required}} {{errorMessages.ecare.pattern}}
e-Billing (facultatif)
{{errorMessages.ebilling.required}} {{errorMessages.ebilling.pattern}}
Regulatory Content (facultatif)
{{errorMessages.regulatory_content.required}} {{errorMessages.regulatory_content.pattern}}
{{errorMessages.authorized_by_company.required}} {{errorMessages.authorized_by_company.pattern}}

Veuillez patienter quelques instants, vos données sont en cours de traitement

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