Urah E-commerce Profile Registration

First Name *

Last Name *

Company Name

Address Line 1 *

Address Line 2 *

City *

Postal Code

Country *

Contact Number *

Email Address *

E-commerce Website *

List of Other E-commerce Platforms

List all e-commerce platforms of where you intend to sell Urah (e.g. Lazada, Shopee, Qoo10, Ebay, etc) including Shop Name and Shop Direct Link if any.

1. Other Platform

Shop Name

Shop Link

2. Other Platform

Shop Name

Shop Link

3. Other Platform

Shop Name

Shop Link

4. Other Platform

Shop Name

Shop Link

5. Other Platform

Shop Name

Shop Link

Facebook Account *

Instagram Account

Twitter Account

Do you agree to advertise/promote Urah on social media and other platforms to increase your sales? *

Yes

No

Have you read and do you agree with our Terms and Conditions? *

Yes

No

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