Register Referral

Please note: This form only accepts qualified information and requests for MPY Technologies. All other inquiries should be directed to our contacts page. Resumes should be sent to resume at

Please fill out the details below. Fields marked with (*) are mandatory
*Partner Type  
*No of Employee  
*Annual Revenue  
Are you currently a MPY Technologies customer?
Did a MPY Technologies sales representative recommend this program to you?
*If yes, please enter their name below:  
*Please let us know about any special skills or services that would make you a great Referral Partner.  
*Award Options  
I agree to/the terms and conditionsin the MPY Technologies Referral Program Agreement.
This question is for testing whether you are a human visitor & to prevent automated spam submissions.
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.