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Seller Name*

Seller Shop Name*

Email*

Password*

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AFFILIATE CODE

LEGAL BUSINESS NAME*

WAIVER REQUEST FORM OR INSURANCE INFORMATION (GENERAL LIABILITY, PRODUCT LIABILITY, OR ARTISAN/CRAFTER COVERAGE WITH "BORLAND ENTERPRISES, LLC DBA SOPAGA" LISTED AS ADDITIONALLY INSURED)*

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TAX ID NUMBER EIN*

BUSINESS ADDRESS*

EMAIL*

COPY OF BUSINESS LICENSE (IF APPLICABLE IN YOUR STATE)*

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SELLER'S PERMIT OR RESALE CERTIFICATE (IF APPLICABLE)

PRODUCT SPECIFIC COMPLIANCE DOCS

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PRODUCT CATEGORY*

Select your Product Category.

ADD AN IMAGE OF THE PRODUCTS YOU WOULD LIKE TO SELL.*

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PRODUCT PICS #2

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PRODUCT PICS #3

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TELL US ABOUT YOURSELF AND BUSINESS.*

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