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Registration

Email*

First Name

Last Name

Store Name*

https://smartriemall.com/store/[your_store]

Alamat 1*

Alamat 2

Negara*

Kota

Provinsi

Kodepos*

Telepon Toko*

No. KTP*

Nama Bank*

Nomor Rekening*

Alamat Bank*

Password*

Confirm Password*