Vendor Registration Form
Register to sell as a vendor on Agelvipa online market place.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Contact Number
*
Country
*
Town
*
Business Name
*
Type of Business
*
Please Select
Agriculture Products
Clothing & Accessories
Arts and Crafts
Cosmetics
Services
Others
Registration Package
*
Please Select
6 month Free Trial
N$50 PM + 15% Commission
N$100 PM + 10% Commission
N$150 PM + 5% Commission
N$100 Monthly (For Services for Marketing purposes)
How did you hear about us?
*
Please Select
Facebook
Instagram
google search
Word of Mouth
Other (Please specify...)
Other
Write the list of products you will be selling on the platforms
*
Upload Identification card (Namibians) & Passport (Other countries)
*
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