Vendor Registration

Username*

Username*

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://aquantuomall.com/gh/store/[your_store]

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-Ghana

City/Town

City/Town

Region

Region

Store Phone*

Store Phone*

GPS address*

GPS address*

Upload a picture*

Upload a picture*

Upload Ghana Card*

Upload Ghana Card*

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions