Vendor Registration

Username*

Username*

Email*

Email*

Store Phone*

Store Phone*

First Name

First Name

Last Name

Last Name

Address 1*

Address 1*

Address 2

Address 2

Country*

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City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Alternative Contact

Alternative Contact

Do You Own A Physical Store?

Do You Own A Physical Store?Yes No

How Long Can Goods Be Collected From You After Order Is Placed?

How Long Can Goods Be Collected From You After Order Is Placed?

Identity / Passport

Identity / Passport

Password*

Password*

Confirm Password*

Confirm Password*

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