Business Information |
Your administration contact information must be accurate.
*Please provide the required information : |
Business Name* |
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- Type Legal Business Name
A to Z ,0 to 9 (alpha-numeric) and - are allowed |
Contact Name* |
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- Type Business owner Name or Authorised Person Name.
A to Z (only Alphabet) allowed
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Address 1* |
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Address 2 |
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City* |
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State* |
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Country* |
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Zip code* |
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Phone No* |
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Email ID* |
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- Type active email address for login and account administration use
e.g. yourname@domain.com
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Retype Email ID* |
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Password* |
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- Password must be minimum six characters long.
- It requires minimum one upper case, lower case letter, and one number.
You may include special characters like @, #, $, %, &, *, <, >, ?, !, ^, _, -, +, /, \, “, (, ) etc to make it hard to guess.
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Retype Password* |
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Service Type |
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Agent Referral Code |
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