Comic Book Nation Marketplace - Authorized Seller/Individual Seller Application

THE COMIC BOOK NATION MARKETPLACE

A GLOBAL COMICS AUTHORITY
AUTHORIZED SELLER/INDIVIDUAL SELLER APPLICATION

Please, provide all required details to register as a business or individual with The Comic Book Nation Marketplace. All information is kept confidential and secured by a password and encrypted in a file. We do not sell or share your information with anyone or any third parties. All information that does not apply put N/A.
Business Owner/Individual Name*

First NameMiddle NameLast Name
Alias/Also Known As*
Legal Business Name*
Trading As*
What State Are You Licensed To Do Business?*
What Country Are You Licensed To Do Business?
Address*

Street Address or P.O. Box

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
All States & Cities Globally*
Contact Number*
Format: (000) 000-0000.
E-mail*

Confirmation Email
Website*
Business (Authorized Seller)Individual (Member Seller)Other
Other Employee Names:*
CBCS Authorized DealerCBCS Authorized Witness / FacilitatorCGC Authorized DealerCGC Authorized Witness / FacilitatorOther
YesNoOther
Name Of Comic Book Wholesale Account?*
BuyerSellerBuyer & SellerOther
Ebay User Name & Link to Page?*
BuyerSellerBuyer & SellerOther
Whatnot User Name & Link To Page?*
BuyerSellerBuyer & SellerOther
Instagram User Name & Link To Page?*
BuyerSellerBuyer & SellerOther
YouTube User Name & Link To Page?*
YesNoOther
YesNoOther
CorporationFictitious Business Name / Trade NameLimited Liability CompanyPartnershipSole ProprietorOther
Brick & MortarRetail ChainInternetWholesaleComic ShowsFlea MarketSwap MeatOther
Business WebsiteComic Book ConventionsEbayLive AuctionsPre-OrdersReply/ClaimRetail StoreOther
Victorian Age (1842 – 1897)Platinum Age (1897 – 1937)Golden Age (1938 – 1947)Atomic Age (1948 - 1955)Silver Age (1956 – 1969)Bronze Age (1970 – 1984)Dark Age or Copper Age (1985 - 1991)Extreme Age (1992 - 1998)Movie Age (1998 - 2016)CGC Graded - No SignatureCGC Graded - SignatureCBCS Graded - No SignatureCBCS Graded - SignatureOther
Chase WepayPaypalQuickbooksSquareStripeOther
How Long Has This Business Been In Existence? (Years)*
How Long Have You Owned This Business? (Years)*
How Many Stores Do You Operate?*
ComicsGraphic NovelsCardsGamesAnimeToysOther
SundayMondayTuesdayWednesdayThursdayFridaySaturdayOther
Start & End Times of Live Auctions?*
Alaskan Time ZoneCentral Time ZoneEastern Time ZoneHawaiian Time ZoneMountain Time ZonePacific Time ZoneOther
Tax ID # / EIN #State Sales Tax LicenseBusiness LicenseUniform Sales & Use Tax Certificate - Multi-JurisdictionResale CertificateOther
YesNo
YesNo
YesNo
Disclaimer:

Thank you for applying to become an Authorized Seller/Individual Seller with The Comic Book Nation Marketplace. The Comic Book Nation Marketplace is dedicated to protecting its sellers and its buyers. We require that you fill out this application so that we may better get to know who you are as a business or individual. By signing below this lets us know you have read and agreed with “The Comic Book Nation Marketplace Standards”. If you have any questions feel free to contact a member of the The Comic Book Nation Marketplace Administrative Team. The information you are providing is completely confidential and secure. For more details, please click the link to review the Privacy Notice.

If you are not approved as a Authorized Seller, you maybe approved as a Individual Seller.
Date & Time*
Signature*
This form must be filled out completely and submitted to The Comic Book Nation Marketplace immediately after receiving it. If you fail to fill this form out, you will not be able to be an Authorized Seller/Individual Seller with The Comic Book Nation Marketplace. However, You can still be a regular member (buyer, collector, etc.)
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THE COMIC BOOK NATION MARKETPLACE

AUTHORIZED SELLER/INDIVIDUAL SELLER APPLICATION