What is your full name?^*

What is your gender?^*

What age group do you belong to?^*

To enable us maintain contact and correspondence, please state your contact address.^*

What is your contact email^*

What is your contact Phone Number^*

What is the name of your business^*

Please Select Product/Service Categories that best describes on AfricanShops.co.uk (Select all that apply)^*

How do you deliver your services and product to your consumers?

Briefly describe your business model, list items and/or services you will be delivery within your business^*

Is your business fully registered with Companies House and active ? If yes, provide Company registration number. If No, skip

Please provide your business contact address if different from your personal address

Do you give permission to Africanshops.co.uk to use your detail to contact you for further details or confirmation only ?^*

What factors influence your decision when choosing a platform to Sell your product/services ? (Select all that apply)

How frequently do you expect to Sell product/services?^*

Have you read and agreed with africanshops.co.uk Legal Policies and Terms of Use (https://africanshops.co.uk/terms-of-use/) ?^*