Innokin Authorized Vendor - Official Website Registration Form 1

Please complete this form to be added to the Store Locator on the new Official Innokin Website. If you have more than one store please re-enter the information in a new entry for each store. If you have any questions please email vendor@innokin.com. Thank you!

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* 1. What is the name of your shop / brand?

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* 2. Who is the primary contact person?

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* 3. How many locations do you currently operate? Please input the mailing information of your primary/flagship store for the primary contact.

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* 4. Contact Information

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* 6. What type of shop is it?

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* 7. Is there any other information which you would like to submit?

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