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Sign Up For Vimery Sales Agent
Agent Info
Name
*
Address
*
State
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Cell Phone
*
Alternate Phone
*
Email
*
Password
*
Verify Password
*
Password must contain at least one lowercase letter, one uppercase letter, one digit and minimum 8 characters and match the confirmation.
Other Details
DOB (mm-dd-yyyy)
*
Social Security Number
*
Photo ID - Front
*
Acceptable documents vary by country, although a passport scan is always acceptable and preferred.
Scans of both the front and back are usually required for government-issued IDs and driver’s licenses.
Files need to be JPEGs or PNGs smaller than 5MB. We can’t verify PDFs.
Files should be in color, be rotated with the image right-side up, and have all information clearly legible.
Photo ID - Back
The document back is usually required for government-issued IDs and driver's licenses.
Referred by
Coupon Code
Bank Account Details
(Bank account will not be charged. It is only used for payments made to you.)
Account Holder Name
*
Bank Routing Number
*
Your bank routing number is a nine-digit code that's based on the U.S. Bank location where your account was opened. It's the first set of numbers printed on the bottom of your checks, on the left side.
Bank Account Number
*
Confirm Bank Account Number
*
By checking this box you agree to our
Terms of Service
and the
Stripe Connected Account Agreement
.
Payment Details
Sign Up as a Vimery Sales Agent (Setup Fee)
$500.00
Setup Fee Discount
Initial Subscription Fee
$500.00
Subtotal:
$1,000.00
Amount Due:
$500.00
Submit