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Username
Email
Select User Role* ---Select--- Customer Wholesaler - Wholesaler Role
Company Registration Form or Partnership Certificate or Sole Proprietorship Certificate
NIC / Driving License of the Dealer
If VAT, VAT Registration Certificate issued by IRD
If SVAT, SVAT Registration certificate issued by IRD
Dealer off set letters
First Name
Last Name
Company
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Street Address
Address 2
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Phone
Custom Code
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