Become a Client

Registration Form

If you are interested in utilizing Dolarex's services, please fill out the form below and we will contact you. We look forward to working with you!
Members of our staff are also fluent in Spanish and Portuguese.

Business Name*

Business Type*

Title*

First Name*

Last Name*

Address 1*

Address 2

City*

State*

Zipcode*

Email address

Business Phone*

Preferred Contact*

Products or Services of Interest

*Dolarex does not accept requests from international customers. Please check back at a later date as our policies are subject to change.

Submit