Custom Inquiry Form

IMPORTANT: Read our Reseller Policy before proceeding with this form. Use DESKTOP to complete this form.
Full Name*

First NameMiddle NameLast Name
E-mail*
Contact Number*
Business Name
Website or E-Commerce Page
It can also be a Facebook page, Instagram account etc.
What type of reseller are you applying for?*

Regular ResellerPremium ResellerVIP Reseller
What city / country do you plan to sell our products?*
Do you have a physical location?*

YesNo
Store Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload photos of your store

Browse Files

Cancelof
Is there a papemelroti branch or reseller located near you?

YesNoI don't know
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional Notes / Questions
I have read the papemelroti Reseller Terms and Conditions and I agree to comply and I understand that failure to comply may result in the termination of my Reseller privileges.*

I agree
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