Logo-DD
Registration - step 1/3
Welcome to the Direct-debits registration form
Following registration, you will be able to test the Direct-debits program for 60 days, free of charge.
At any time during this period, you can choose to complete your registration and subscribe to the service by printing out the subscription contract.

Feel free to contact us

by email: assistance@exalog.com

or by telephone: +33 1 81 89 00 81
* Mandatory fields
Organization contact details

Company name* :
Address* :
 
Zip code* :
City :
Country* :
 
Administrator (user who has all rights)

Enter the person appointed as administrator, i.e. the person with the right to access all the functions and data.
You can then set up other users.
Title* :
Name* :
First name :
Choose an access name* : aide2
Phone :
Email* :
How have you heard of
Direct-debitss* :
 
I have read and I accept the conditions of use