Assurify
Step 1 of 7 Your Details 14%

👤 Your Details

Let us know who you are so we can address the proposal to the right person.

Name is required.
Store name is required.
Role is required.
Enter a valid 10-digit number starting with 6–9.
Enter a valid email address.

📍 Store Location

We assign dedicated regional support based on your location.

Valid 6-digit PIN Code required.
City is required.
State is required.

🏪 Store Profile

Help us understand the nature of your business so we can recommend the right plan lineup.

Please select number of outlets.
Please select years in business.

📦 Product Portfolio

Tell us what product categories you sell — this helps us map the right Assurify protection plans to your inventory.

Please select at least one category.
Separate multiple brands with commas.
Please select an ASP range.

📊 Sales & Volume

Understanding your current sales volume helps us calculate your estimated monthly earnings with Assurify.

Please select monthly volume.

⚙️ Integration & Requirements

Tell us how you'd like Assurify to fit into your existing workflow — and what support you'll need.

Please select at least one plan.
Please select at least one option.
Optional — more detail helps us prepare a sharper proposal.

✅ Review & Submit

Check your details before submitting. We'll send a customised proposal to your email within 24 hours.

Your Details
Name

Store

Role

Contact

Location & Store
Location

Store Type

Outlets

Years in Business

Product Portfolio
Categories

Avg. Device Price

Sales Volume
Monthly Volume

Existing Warranty

Requirements
Interested Plans

Timeline

By submitting you agree to be contacted by the Assurify partnership team. We'll never share your data with third parties.