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Vendor Registration
Fill all form field to go to next step
Vendor Type:
Pharmacy
Health Services
First Name:
Last Name:
Company Name:
Email:
Password:
Confirm Password:
Phone Number: *
Select
+971
Address Line 1:
Address Line 2:
Street Name/No: *
Country:
Select Country
United Arab Emirates
;
City: *
Select
State/Province: *
Select
Zip Code: *
Logo:
Trade License:
Trade License Number:
Trade Licence Expiry:
Enter the location or Drag the marker:
Register