Supplier Sign-Up Form / Supplier / Hardware Store Sign-Up

Primary market: Jamaica (materials & suppliers in Jamaica).

Business Name *

Email address *

Contact Person Name *

Role/Title (Owner / Manager / Supervisor / Sales / Accounts)

WhatsApp (preferred)

Phone *

Store Address *

Website / Instagram / Facebook (optional)

Business Type *

Hardware Store
Lumber
Steel
Plumbing
Electrical
Tiles
Windows & Doors
Paint
Ready Mix

If “Other,” please specify (leave blank if not “Other”):

Do you deliver? (Yes/No) *

Yes
No

Delivery Area (If you selected “Yes” for delivery, this is required)

Other delivery areas (type here) *

Do you offer loading assistance? (Yes/No) *

Yes
No

Do you accept card payments? (Yes/No)

Yes
No

Do you accept bank transfer? (Yes/No) *

Yes
No

Can you accept payments from overseas/diaspora customers?* (Yes/No / Depends) *

Yes
No
Depends

Can you provide quotations/invoices?* (Yes/No) *

Yes
No

Typical quote turnaround time (Same day / 24–48 hrs / 3–5 days) *

Do you have a price list/catalog? (Choose one) *

Yes — I will upload it here
Yes — I will email it
No

Upload price list / catalog (optional)

If emailing, what email will you send it from? (optional)

Notes / message

Typical quote turnaround time *

Same day
24–48 hours
3–5 days
5+ days

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