Username*

Username*

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

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

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-Guyana

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Store Phone*

Store Phone*

Selling As*

Selling As*-Select- A Registered Business Incorporated Company An Individual

Form of Identification*

Form of Identification*-Select- Drivers License Passport National ID Card

Enter number here*

Enter number here*

Beneficiary*

Beneficiary*-Select- I am the owner of the business I am a legal representative of the business N/A (selling as an individual)

What kind of products will you be selling (select all that applies)?*

What kind of products will you be selling (select all that applies)?*Electronics Clothing Footwear Beauty Products Health Products Jewelry Kids Items

Are your items branded?*

Are your items branded?*-Select- Yes No For some items

Are you a manufacturer or brand owner (or authorized reseller) of the items you'll be selling?*

Are you a manufacturer or brand owner (or authorized reseller) of the items you'll be selling?*-Select- Yes No For some items

When do you intend to start selling?*

When do you intend to start selling?*-Select- Immediately In a couple of weeks In about a month Just want to sign up for now

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions