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New Vendor Registration Form
Mobile Phone Wholesale Liquidation Business to Business
Company Details
How can we serve you?
We would like to sell to Yafai Enterprise LLC and we are NOT purchasing.
We would like to remarket our devices with Yafai Enterprise LLC
Other
Legal Company Name
*
DBA
EIN / Tax ID Number
*
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
*
Please enter a valid phone number.
Business Email
*
Upload your Signed Tax Certificate Here
*
Browse Files
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Date Business Started
*
DUNS & Bradstreet Number
Contact Details
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Phone Number
*
Please enter a valid phone number.
Personal Email
*
example@example.com
Services Needed
Please provide in detail how we may be of any assistance to you.
Reference Details
Reference #1
*
First Name
Last Name
Reference Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference Phone Number
*
Please enter a valid phone number.
Reference Email
*
example@example.com
Reference #2
*
First Name
Last Name
Reference Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference Phone Number
*
Please enter a valid phone number.
Reference Email
*
example@example.com
Reference #3
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference Phone Number
*
Please enter a valid phone number.
Reference Email
*
example@example.com
Legal & Agreement
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
*
Name
Title
Date
*
-
Month
-
Day
Year
Date
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