REGISTRATION Wholesaler Registration Please Note: Fields marked with * are mandatory. Phone Your Store Type * Please Select Shop Front Online Store Social Media Business Registered Enterprise Name * Trading As * Owner * Registration No: VAT No: Contact Person: Main Number: * Mobile Number: Send notifications via WhatsApp Yes No Region * Please Select a Region Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Province (Northern Province) Mpumalanga North West Northern Cape Western Cape --------------------------- Botswana Malawi Namibia Zimbabwe E-Mail * Website Physical Address Line 1 * Delivery Address Line 1 * Physical Address Line 2 Delivery Address Line 2 Physical Address City * Delivery Address City * Physical Address Zip Code * Delivery Address Zip Code * Physical Address Contact No * Delivery Address Contact No * Authentication
