Vendor Registration

Registration

Username*

Email*

First Name

Last Name

Store Name*

https://dealsmedi.com/store/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

EIN Number*

Business Registration (LLC / Corporation / Sole Proprietor)*

Business Registration Certificate*

Sales Tax / Resale Certificate*

Government ID Upload*

Business State*

Store Description*

Product Category (Medical Category)*

Business Website

Please read and understand the Agreement.

Vendor Agreement

Please download the Vendor Agreement, sign it, and upload the signed copy.

I have read, understood, and agree to the Vendor Agreement.*

Upload Signed Vendor Agreement*

I agree to DealsMedi Terms & Conditions*

Password*

Confirm Password*