BECOME A RESELLER

We are excited for you to join our VIP family!
Please complete the form, and we will get in touch ASAP!

Where Did You Hear*
Please State Other:
Name*
First Name Last Name
Company Name*
VAT Number
Are you a Reseller and intend to sell our product for commercial profit?*
Select your Business Type*
Please upload a valid copy of your business registration document*
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Max. file size: 2 GB, Max. files: 1.
Please upload a copy of an invoice from another wholesale company that you have recently purchased from*
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Contact Number*
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Website
List three current merchant accounts that you have open at the moment:

Current*

Company Name	Contact Number	Contact Person

Upload A Copy Of Your ID*
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Upload a Copy of your VAT Certificate*
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Max. file size: 2 GB, Max. files: 1.
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List three current merchant accounts that you have open at the moment: