New Customer B2B Registration Form

New Customer B2B Registration Form

Mobile Phone Wholesale Liquidation Business to Business
- Legal Company Name
- DBA
- EIN / Tax ID Number
- Business Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Is the billing address the same as the company address?
- Is the shipping address the same as the company address?
- Business Phone Number
  
  Country CodePhone Number
- Business Email
- Upload your Signed Tax Certificate Here
  
  Cancelof
- Date Business Started
- DUNS & Bradstreet Number
- Select any relevant certifications
- Certification Upload
  
  Cancelof
- Name
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Personal Phone Number
  
  Country CodePhone Number
- Personal Email
  example@example.com
- Personal ID Upload
  
  Cancelof
- Preferred Shipping Method #1
  FedEx / UPS / DHL / Preferred Freight Company
- Account Number Shipping Method #1
  Account will be used to prepare shipping labels
- Preferred Shipping Method #2
  FedEx / UPS / DHL / Preferred Freight Company
- Account Number Shipping Method #2
  Account will be used to prepare shipping labels
- Reference #1
  
  First NameLast Name
- Reference Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Reference Phone Number
  
  Area CodePhone Number
- Reference Email
  example@example.com
- Reference #2
  
  First NameLast Name
- Reference Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Reference Phone Number
  
  Area CodePhone Number
- Reference Email
  example@example.com
- Reference #3
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Reference Phone Number
  
  Area CodePhone Number
- Reference Email
  example@example.com
- The undersigned certifies that the above information on this application is correct to the best of my knowledge. The undersigned also authorizes the references, listed to release information to Yafai Enterprise LLC.
  
  Please scroll all the way down for each T&C to be able to click on the checkbox.
- Signature
- Signatory Name & Title
  
  NameTitle
- Date
  
  MonthDayYear
  Date
- Should be Empty:

New Customer B2B Registration Form

The undersigned certifies that the above information on this application is correct to the best of my knowledge. The undersigned also authorizes the references, listed to release information to Yafai Enterprise LLC.