Global Video Games - Registration

Wholesalers Only

Platform and Games

GameBoy Advance

Nintendo Game Cube

Playstation P – PSP

Registration

Name:
First Name:
Middle Name:
Last Name:
Email:
Username:
Password:
Verify Password:
Company:
Contact Name:
Billing Address:
Billing Address 2:
City:
State:
Zip Code:
Shipping Address (if different):
Shipping Address 2:
City:
State:
ZipCode:
Phone #:
Fax #:
Web site:
Resale # (Or Buisness Tax ID):
*If you do not receive your confirmation e-mail, please check your SPAM folder.*

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