Register your company

We are building an exclusive, international network of outlets. Each application is evaluated personally. If your company is found suitable as a point of sale, you will receive access to our ordering portal.

Sign up

Using the form below, you can register your company.

Approval

We will review your application. Upon approval, you will be notified.

Ordering

After creating your account, you can order in our ordering portal.

become point of sale

Hidden

Next Steps: Install the User Registration Add-On

This form requires the Gravity Forms User Registration Add-On. Important: Delete this tip before you publish the form.

Company name*

Chamber of Commerce number*

First name & last name*

Name Surname

Email address*

Phone number*

Address*

Address City of Province Postal code Country

CAPTCHA

Comments

This field is for validation purposes and should not be changed.