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Affiliate Store Registration

1. Store Info 2. Address 3. Shipping & Pickup 4. Branding & Marketing

Store Name

First Name

Last Name

Email Address

Phone Number

Fax (Optional)

Company (Optional)

Address

Apartment / Suite

City

State

Postal Code

Shipping Methods
FedEx
UPS

Pickup Location

Location Name

Pickup Details

Address

Apartment / Suite

City

State

Postal Code

Store Logo (Optional)

Store Icon (Optional)

Preview Image (Optional)

Facebook URL (Optional)

Instagram URL (Optional)

Twitter URL (Optional)

YouTube URL (Optional)

Pinterest URL (Optional)

LinkedIn URL (Optional)

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