Retailer registration (Brennan's version) First Name Last Name Username Email Phone Number Password Are you signing up as a company? Please only choose 1 response. Yes No Company Type Please SelectE-CommerceSelling as an IndividualBrick and MortarE-Commerce and Brick and Mortar Do you have experience selling on Amazon or other e-commerce sites? Please selectI've never sold beforeSome experienceI'm an experienced e-commerce seller Would you be interested in finding out how to sign up as a company? YesNo Company Name What is your monthly revenue? Please select$0.00/I have not startedUnder $500$500 - $1k$1k - $5k$5k - $10k$10k - $20k$20k - $50k$50k - $100k$100k+ Do you sell on Amazon? Yes No What's your Amazon Store name? Country Please SelectAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Business or Home Street Address Apt./Unit # City State Website URL How do you handle shipments? Please selectDirect to Fulfillment/Prep Center (Amazon, Etc.)Your own fulfillment centerThis doesn't apply to me Would you be interested in learning about our Brex card that helps small businesses? YesNo Do you have a Sellers permit for your state? YesNo Do you have an Amazon Sellers account? YesNo What's your Amazon Store name? Please put in N/A if this doesn't not apply to you. How much do you plant to start with? Please keep in mind our minimum is $3k, but you can still sign up! Less than $3k$3k$3k - $5k$5k - $10k$10k - $15k$15k - $20k$20k+ Submit Retailer registration First Name Last Name Username Email Password Company Name Type of Company Please selectE-CommerceSelling as an individualBrick and Mortar (Physical)Both E-Commerce and Brick and Mortar Experience as a seller Never sold before Starting investment range 3k-5k5k-10k20k-50kOther How much do you plan to start with? (For now our minimum is $3000 but you can sign up still!) Phone number Website URL If you are an E-Commerce business Do you sell on Amazon? If so what is your store name: (We collect this information to make sure users don't violate MAP/Marketplace Restrictions) Please provide the address that you use for your Amazon Seller account. If you’re still not an Amazon Seller, please use this address when signing up because it’s needed for your invoice. Country: AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe State: Please selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming How do you handle Shipments: Please selectDirect to Fulfillment/Prep Center (Amazon, etc)Your own fulfillment center What is your monthly revenue: Please select$0.00 / I have not startedUnder $500.00$501-$1k$1000.01-$5k$5k-$10k$10k-$20k$20K-$50k$50k-$100k$100k+ How did you hear about Invidica? Please selectWord of MouthNewsletters/ NewsVenture Capital/ InvestorsBrexOther Is you company incorporated? Yes No Would you be interested in incorporating your company? Yes No Do you have your sellers permit for your state? Yes No Do you have an Amazon sellers account? Yes No To register Amazon seller account you need: - Bank Statement - Bank account info - Government issued ID Submit
