Thank you for YOUR INTEREST IN registering a new opportunity or requesting a registration extension with Defendx!
Please complete the form on the right to submit key information, and we will contact you directly.
Your Account Executive or Partner Manager will contact you shortly to assist in managing the account.
Please note that completing this form is not a guarantee of registration. You will be sent a confirmation number as validation once your registration is approved.
New Registrations and Registration Extensions
Please enter your information below.