EeBria Producer Registration

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Please fill in this form with as much detail as possible, as this will speed up the onboarding process, so we can start selling your products sooner!

Producer Name *

Please provide the brand name that you would be selling under on EeBriaTrade

Contact Email Address *

Best Contact Name *

Who will be our main point of contact for questions about the account?

Direct Phone Number for the Best Contact *

We'll only use this to get in touch about your registration, you can change the contact numbers on your account at a later stage if we move through to registration and launch

Business Phone Number (if different to the above)

If you have another phone number for contacting the business (e.g. for the warehouse or main office) please put this here

Website *

please provide the link as it will help us assess your products and branding and suitability for the site

What is the legal entity we would be working with? *

Limited Company

Sole Trader

Partnership or Community Collective

Other:

Do you represent the producer directly? *

Examples of an indirect representation would include an importer/distributor, an outsourced marketing company etc. This covers any relationship where EeBria's direct contact would not be with the original producer of any products sold.

Yes

No,

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