Importer Registration

Please complete the below form to register your business with Agoge Global USA, Inc.

Contact Information

Please provide the contact information for the person completing this form.

* denotes required information.

Name: * Position: * Email: * Phone: *

Business Information

Please provide the information on the business that you are registering.

* denotes required information.

Legal Business Name: * Business Operating Name or DBA (if different): Business EIN or Tax ID: *

Business Address

Country: * Address: *

City: *

State: *

Zip Code: *

Phone: *

Website: *

Email: *

Names of all Directors & any Owners who own more than 10% of the business: *

First Name: *

Middle Initial: *

Last Name: *

First Name:

Middle Initial:

last Name:

First Name:

Middle Initial:

Last Name:

First Name:

Middle Initial:

Last Name:

Check this box, If you have more than 4 names.

Documents

Please provide the required documents. If your files are too large please email to info@agogeglobalusa.com.

Note: If you are experiencing an issue with your file size in a required field, use this image (right click, Save As) as a filler and after sending the form, email the required documents to info@agogeglobalusa.com. Reference: "US Importer Onboarding KYC Verification", your email address, full name, and type of document that you have attached.

* denotes required information.

Business Incorporation Documents: * Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted) Import License (if applicable): Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted) Owners & Directors Proof of Address: * Note: Combine all documents into one file. If you are having trouble, Please email files to info@agogeglobalusa.com Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted) Owners & Directors Government Issued Photo Identification: * Note: Combine all documents into one file. If you are having trouble, Please email files to info@agogeglobalusa.com Maximum file size: 4mb (PDF, JPG, JPEG, PNG, DOC & DOCX accepted)