Seller Application Form

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Name *

First

Last

Business Name *

Business Address *

City/State *

Business Phone Number *

Alternative Number

This is necessary for when we cant reach you through the above number

WhatsApp Number *

Instagram Handle *

The handle should be put in this format; instagram.com/_____________

Contact Email *

Is your Business Registered with CAC? *

• Yes
• No
• Other

Briefly describe your product and category *

Bank *

For Payment Purposes

Account Name *

For Payment Purposes

Account Number *

For Payment Purposes

Submit

*Send a copy of your Photo Passport, ID card and if Applicable CAC certificate to vendors@sarahshub.com