ACCOUNT HEALTH MAINTENANCE ON BOARDING FORM

ACCOUNT HEALTH MAINTENANCE ON BOARDING FORM
Amazon Store Name*
Amazon Registered Account Owner’s Name*

First NameLast Name
Amazon Primary Email*
Please provide the primary email address registered to the amazon store.
Amazon Registered Business Address

Please provide the current business address registered to the amazon store.

Street Address Line 2

CityState / Province

Postal / Zip Code
Communication Phone Number*
To ensure timely communication regarding urgent account health matters, please provide a phone number where we can reach you.
Communication Email*
To ensure timely communication regarding urgent account health matters, please provide an email where we can reach you.
Amazon Store Marketplace*
In order to participate in the account health maintenance program, kindly choose the marketplace that you wish to enroll in.
Number of Listing*
Please provide the total number of active listings that you have in your amazon store.
Should be Empty: