CREATE ACCOUNT

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ACCT CONTACT PERSON NAME*
SELLER SHOP NAME*
EMAIL | All Communications*
PASSWORD*
CONFIRM PASSWORD*

Please enter your password again

COMPANY NAME*
BUSINESS OWNERSHIP*
BUSINESS TYPE*
NUMBER OF EMPLOYEES*
TOTAL EMPLOYEES?*
TEXT NOTIFICATIONS PHONE #*
PAYOUT ACCT:: ACCOUNT NUMBER
PAYOUT ACCT:: ROUTING NUMBER
DO YOU WANT TO IDENTIFY?
GF: PROFESSIONAL ADVANCEMENT
GF: FAMILY LEAVE POLICIES
GF: BIAS & HARASSMENT POLICY
GF: COMPANY PAID WAGES
GF: ADVERTISING PRACTICES
INDUSTRY IDENTIFICATION*
CATEGORY*
EXTRA INFO ABOUT COMPANY?
WHY BE PART OF OUR MISSION?
REFERRED BY- NAME OR COMPANY
HOW DID YOU HEAR ABOUT US?*
INSTAGRAM HANDLE? OR N/A
AFFILIATE MEMBERSHIP?*
MEMBERSHIP PLAN*
CREDIT CARD NUMBER
EXPIRATION DATE
CVV#-LAST 3 DIGITS ON BACK
FULL BILLING ADDRESS
NAME ON THE CREDIT CARD
ARE YOU SPONSORED?
1: ADMINISTRATIVE (SKIP)
2: ADMINISTRATIVE (SKIP)
3: ADMINISTRATIVE (SKIP)