Vendor Registration

Registration

Username*

Email*

First Name

Last Name

Store Name*

https://czi.co.zw/covid/store/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Company Profile*

Tax Clearance certificate*

Physical Address of the Company*

Proof of the physical address*

Full name of Custodian*

Contact details of Custodian*

Password*

Confirm Password*

Select your currency
USD United States (US) dollar