New Vendor Registration Form

New Vendor Registration Form

Mobile Phone Wholesale Liquidation Business to Business
- 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 LLCOther
- Legal Company Name*
- DBA
- EIN / Tax ID Number*
- Business Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Business Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Business Email*
- Upload your Signed Tax Certificate Here*
  
  Cancelof
- Date Business Started*
- DUNS & Bradstreet Number
- Name*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Personal Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Personal Email*
  example@example.com
- Please provide in detail how we may be of any assistance to you.
- Reference #1*
  
  First NameLast Name
- Reference Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Reference Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- 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*
  Please enter a valid phone number.Format: (000) 000-0000.
- 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*
  Please enter a valid phone number.Format: (000) 000-0000.
- 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 Vendor 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.