Vendor Prequalification Form | Kudyunus Bislar General Merchant

Name

First

Last

Email

Phone

Business Name

Business Address (Where goods will be picked up from)

Business Description (Short description of the nature of your business)

Product Description (include the names of some products that you sell)

Any other information you will like to share about you or your busines

Facebook

Twitter

Instagram

Referred By

Order Number (Prospective vendors must have made a purchase on this website. The order number should be entered in this field)

Bank details (Where your commissions will be paid to).

Include information about your bank name, account name and account number.

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