Vendor Registration

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

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

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-United States (US)

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Store Phone*

Store Phone*

Which products are you interested to sell on Malltera?*

Which products are you interested to sell on Malltera?*

Tell us where else are you selling? (Online stores - Which sites? / Physical stores - What are the addresses?)*

Tell us where else are you selling? (Online stores - Which sites? / Physical stores - What are the addresses?)*

Do you have your own website? If yes, what is the site's address?*

Do you have your own website? If yes, what is the site's address?*

Are you successfully selling on your own website?*

Are you successfully selling on your own website?*Select (Yes or No) YES NO

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions