Vendor Registration

Username*

Username*

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://www.puppycircles.com/breeder/[your_store]

Address 1*

Address 1*

Address 2

Address 2

Country*

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

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Breed(s)*

Breed(s)*

Website

Website

Who referred you to join the PuppyCircles.com platform?*

Who referred you to join the PuppyCircles.com platform?*Select an option... A Puppy Circles Administrator A Puppy Circles Member (Breeder) I did not receive a referral

First and last name of the Puppy Circles member who referred you

First and last name of the Puppy Circles member who referred you

Password*

Password*

Confirm Password*

Confirm Password*

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