Registration

Username*

Email*

First Name

Last Name

Store Name*

https://atara.ng/services_suppliers/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Phone Number

Photo ID ( Passport / Drivers License / National ID ) :*

Photo ID Expiry Date

Remark:

Please note that the above will serve as your pickup address where we come to pick up your orders for delivery.

Password*

Confirm Password*