Vendor Registration

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Phone*

Store Phone*

Type of Organisation*

Type of Organisation*

Organisation Name*

Organisation Name*

Please attach a clear copy of the organization's registration certification*

Please attach a clear copy of the organization's registration certification*

Produce names*

Produce names*

Capacity / Volume per year (Metric Tonnes)*

Capacity / Volume per year (Metric Tonnes)*<100 tonnes per year 100 to 500 tonnes 500+ tonnes

Country*

Country*AlgeriaAngolaBeninBotswanaBurkina FasoBurundiCabo VerdeCameroonCentral African Republic (CAR)ChadComorosCongo, Democratic Republic of theCongo, Republic of theCote d\'IvoireDjiboutiEgyptEquatorial GuineaEritreaEswatini (formerly Swaziland)EthiopiaGabonGambiaGhanaGuineaGuinea BissauKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSouth SudanSudanTanzaniaTogoTunisiaUgandaZambiaZimbabweOther

Availability*

Availability*Immediately 1 to 3 months 6+ months,

Percentage (%) produce you would like to sell exclusively through Selina Wamucii*

Percentage (%) produce you would like to sell exclusively through Selina Wamucii*10 20 30 40 50 60 70 80 90 100

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions