Please fill below form to get registered as “Seller” and begin the journey of skyrocket your growth on Amazon.


[text* business_name placeholder “Business Name”]
[text business_registration_number placeholder “Business Registration Number”]
[text business_address placeholder “Business Address”]
[email* business_email placeholder “Business Email”]
[tel business_phone placeholder “Business Phone Number”]


[text* seller_name placeholder “Seller Name”]
[text seller_position placeholder “Position/Title in the Company”]
[text years_in_business placeholder “Years in Business”]


[text products_sold placeholder “Type of Products Sold”]
[text brands_carried placeholder “Brands Carried”]


[url website_url placeholder “Website URL”]
[text social_media_profiles placeholder “Social Media Profiles”]


[file business_license]
[text tax_id_number placeholder “Tax Identification Number (TIN)”]
[file certifications]


[textarea reviews placeholder “Share any existing customer reviews or ratings from other platforms”]


[text partnerships placeholder “Current or Past Partnerships (if applicable)”]


[checkbox terms_agreement default:1 “I agree to the Terms and Conditions”]


[captcha]


[text referral_source placeholder “How did you hear about us?”]


[submit “Submit”]