Complete and submit the form below. Your store will appear on Potrider after our account team contacts you and verifies the information.

If you are submitting this application on behalf of a company or other legal entity, you represent that you have the authority to bind such entity to the terms and conditions set forth herein.

Your Store Information

Store Name

Store Email

Store Phone

Password

Store Type

Address Line 1

Address Line 2

City

Province

Postal Code

Store Website

Number of Employee

Terms and Conditions

You consent to Potrider’ collection of your name, phone number, email address, store name, store address, and other store information for the limited purposes of verifying and evaluating your application to add your store to the Potrider platform, for any purposes related to your commercial use of our products or services and for our representatives to contact you with respect thereto.
You acknowledge that you are not a minor as legally defined in your municipality, state, province, territory, or country.
You agree that Potrider may share your personal data with third parties for the limited purpose of providing you with the Authorized Communications.
You understand that you will have the opportunity to unsubscribe from the Authorized Communications and request the deletion of your personal data from Potrider’ systems at any time.
You acknowledge that you have read and agree to be bound by the Potrider Terms of Use and Privacy Policy.
You acknowledge that you have read and agree to be bound by the Potrider Commercial Terms.
I agree to the terms and conditions as set out by the user agreement.

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