For new strategic account referrals, or dormant Seller Central accounts that have sold < $5K in the T12 months only.

Company Name (prospective seller)

Primary Target Selling Market United States Canada Europe/UK Australia UAE / Saudi Arabia Mexico Brazil

Primary Contact First Name (prospective seller)

Primary Contact Last Name (prospective seller)

Primary Contact Email (prospective seller)

Primary Contact Phone Number (prospective seller)

Referring Partner Company Name (this is you)

Referring Partner Point-of-Contact (POC)

Referring Partner POC Email

Referring Partner POC Phone Number

Brand Name(s)

Seller Relationship to the Brand Brand Owner Licensee Reseller or Distributor

Website (mark as N/A, if website unavailable)

Primary Product Type

Off Amazon Annual Revenue < $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - 1M $1M - $5M $5M - $10M $10M - $100M $100M - $500M $500M -$1B $1B +

Anticipated 1st Year Revenue on Amazon Less than $50,000 $50,000 - $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1M $1M - $5M $5M - $10M Over $10M

Annual Advertising Budget $0 - $10,000 $10,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 +

Target Product Launch Timing on Amazon Within 30 days 30 to 60 days 60 to 90 days 90 days to 180 days Greater than 180 Days Undecided

Merchant Token ID (dormant account referrals only)

(Optional) Preferred Amazon Account Representative Email

Additional Comments (if applicable)

Programs of Interest Your Seller May Qualify For: Buy with PrimeMulti-Channel Fulfillment (MCF)Renewed New Seller Incentives (NSI) + Benefits: All referrals that show strong brand demand signals in the US will automatically be reviewed for consideration for NSI+ Benefits. NSI+ is an accelerator program that provides a number of additional benefits to select brands with strong consumer demand signals. Not all brands will qualify.

Comments

                   US Seller Privacy Notice | EU Seller Privacy Notice | AU Seller Privacy Notice | CA Seller Privacy Notice                                                                                                  JP Seller Privacy Notice | Buy with Prime Notice