Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://www.pawxie.in/store/[your_store]

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-India

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Store Phone*

Store Phone*

Alternate Phone number

Alternate Phone number

Office address*

Office address*

PAN Number

PAN Number

Licence No:

Licence No:

License Documentation:

License Documentation:

Which Type of Product You want to sell?*

Which Type of Product You want to sell?*Pharmacy Products Other Pet Products Hospital related Services Diagnostic lab Path lab Vet on call Grooming

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions