Complete Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Complete Address (Japan) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Mobile Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Mobile Provider {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Facebook Profile {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Preferred Trading Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How many potential customers do you have? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Close Up Photo {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Important!
As agent, you will be responsible in distributing the boxes to your customers, submitting pickup requests, collecting the payments, and reporting the payments to Kenshin Hako.