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Vendor Registration
* Fields are mandatory
User Name  *  
Vendor Store URL   http://www.multisellerstore.com/store/
Password * 
Confirm Password   * 
First Name * 
Last Name   * 
Address Line 1  * 
Address Line 2 
City * 
Country * 
State*  
ZIP * 
Company  
Website  
Phone 
FAX 
Email * 
Currency *