ACCOUNT HEALTH MAINTENANCE ON BOARDING FORM

Account Health Maintenance Onboarding Form
Amazon Store Name*
Marketplace*
In order to participate in the account health maintenance program, kindly choose the marketplace that you wish to enroll in.
Name*

First NameLast Name
Amazon Primary Email*
Please provide the primary email address registered to the amazon store.
Number of Listing*
Please provide the total number of active listings that you have in your 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 Email
Email*
To ensure timely communication regarding urgent account health matters, please provide an email where we can reach you.
Phone Number*
To ensure timely communication regarding urgent account health matters, please provide a phone number where we can reach you.
Should be Empty: