Reseller Application

Submit a simple form to apply for to be a reseller of us


    Full Name*


    Email Address*


    Date of Birth*


    Country*


    State*


    City*


    Zip / Postal Code


    Mobile / Phone Number*


    Do you have Bitcoins Wallet ?*
    YesNoNo, But i will get one




    Do you have any experience with selling of prescription drugs?*
    YesNo




    Additional message (optional)

    Important Notice Regarding Payment Methods!

    Currently we are unable to accept payments via mainstream means, except Bitcoins.

    Suspended payment methods will be enabled again soon. Till then, we are accepting only Bitcoins.

    There are plenty of exchanges you can purchase bitcoins with your credit/debit card or other mainstream options, below are few famous exchanges;

    LocalBitcoins Paxful Changelly Coinbase CoinMama Cex

    Here is complete step by step guide explained by 99bitcoins Click Here