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Apply as Authorized Retailer

Please complete the form below to apply as Authorized Retailer of the legally licensed Vape Products.

Company Name :

Business Reg (SSM) No. :

Email :

Mobile No. :

Address :

Person In Charge Name (As per IC / Passport) :

IC / Passport No :

Designation :

Referred by :

I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination of this application.

Join us as Authorized Retailer | VTV Vape

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