Language
English (US)
Arabic
New Customer B2B Registration Form
Mobile Phone Wholesale Liquidation Business to Business
Company Details
Legal Company Name
*
DBA
EIN / Tax ID Number
*
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the billing address the same as the company address?
*
Yes
No
Is the shipping address the same as the company address?
*
Yes
No
Business Phone Number
*
-
Country Code
Phone Number
Business Email
*
Upload your Signed Tax Certificate Here
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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
*
-
Country Code
Phone Number
Personal Email
*
example@example.com
Personal ID Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Shipping Details
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 Details
Reference #1
*
First Name
Last Name
Reference Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference Phone Number
*
-
Area Code
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
*
-
Area Code
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
*
-
Area Code
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
Continue
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