Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://neontricycle.com/partner/[your_store]

Store Phone*

Store Phone*

Pan Card/ Tax Identification Card*

Pan Card/ Tax Identification Card*

Identification Card with Address Proof (Aadhar/Driver License/ Passport)*

Identification Card with Address Proof (Aadhar/Driver License/ Passport)*

Cancelled Cheque

Cancelled Cheque

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions