Name of Business *

Type of Business *
ManufacturerDistributorService ProviderOther:

What type of products will you like to sell on Q Shop? *
BeautyClothing and AccesoriesPublicationsNon-PerishablesOther:

Company Founding Year
Size of Company
Target Audience for the products you seek to sell

Geographical Target

Business Social Media Page(s)
Address/Location of Business *
Business Contact *
Name of person representing the company *
Job Title
Contact Email *
Contact Phone *
Can you suggest any other five local producers you know?
How did you find out about Q Shop?
Q Shop's Social Media PagesThrough another vendorQ Shop AdA Google searchDuring an EventOther:

* Required

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