Become an Agent

Want to become an agent and sell Cleansafe Labs products?

To become an agent you will need to fill out the form and attached the necessary documents. Once approved we will send you and email with your login information and you will be able to start your journey with Cleansafe Labs.

What documents do we require?

A Proof of address (No older than 3 months)
A copy of your ID (.png, .jpg. .pdf format only)
A copy of your Business Registration Papers (.png, .jpg. .pdf format only)
If you dont have a registered business, we will require a document as to why you would like to join the Cleansafe Labs family.

Attach the required documents to the filled out form and we will get back to you within 48 hours after submission.

Registration Form

First Name:(Required)

Last Name:(Required)

Email:(Required)

Phone:(Required)

ID Number:(Required)

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Business Name:

Business Registration Number:

Website:

Your Message:

Files:(Required)

Drop files here or

Max. file size: 64 MB.

Become an Agent

Registration Form

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Register