Reseller's Information
Please fill in the informations required in this form and click the submit button at bottom of page, we will send you an email and register you as our resellers once we approved your application.

(NB: You need to have a Value Co account registered, applications with email account not registered will be automatically rejected.)
Sign in to Google to save your progress. Learn more
Email *
What is your Email Address used for Value Co Online Store? *
What is your full name? *
Cell Phone Number *
What kinds of products are you resell in? *
Where are you planning to resell the products? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy