Distributor Signup Basic Info Email* Customer Name* Bussiness Name Date of Birth dd/mm/yyyy Home Address Personal Shop Address 1 Personal Shop Address 2 Business Info Distributor of any other company (List brands also) Sub-Distributor of any other company Warehouse/Store Address Sub Zone State ABIA ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVER DELTA EDO EBONYI EKITI ENUGU FCT GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NIGER OGUN ONDO OSUN OYO NASSARAWA PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA City Local Government Type ASM Tel. Nos (All)* Email IDs (All)* Distributor of any other tomato or seasoning brand? YES NO If Yes, list products name below Monthly Sales target (Turn Over ) # Banks Used I hereby pledge that I will abide by the stipulated recommended prices of the company. If found guilty, I will accept the penalty levied by the company.* Signed Documents Required 300kb max. each Two Passport Size Photograph Photo ID Proof (National ID card, PVC, Passport) Address Proof and Proof of Warehouse/Shop Forget your private link? Click here to have it emailed to you.
