Vendor Registration

Username*

Username*

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://modelxshop.com/store/[your_store]

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-United States (US)

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Store Phone*

Store Phone*

What's your Birthday? (MM/DD/YYYY)*

What's your Birthday? (MM/DD/YYYY)*

Please upload "only" your personal State ID or State DL (Driver's License) ID or Passport*

Please upload "only" your personal State ID or State DL (Driver's License) ID or Passport*

Please upload a selfie with your State ID or DL ID in hand next to your face.*

Please upload a selfie with your State ID or DL ID in hand next to your face.*

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions