Vendor Registration

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://agrilinks.bz/store/[your_store]

Store Phone*

Store Phone*

Alternate Phone Number

Alternate Phone Number

District*

District*BelizeCayoCorozalOrange WalkStan CreekToledo

City/Town/Village*

City/Town/Village*Corozal Town Buena Vista Calcutta Caledonia Carolina Chan Chen Chunox Concepción Consejo Copper Bank Cristo Rey Estrella Fire Burn Hill Bank Libertad Little Belize Louisville Paraiso Patchakán Progreso Pueblo Nuevo Ranchito Saltillo San Andrés San Antonio San Joaquín San Narciso San Máximo San Pedro San Román San Victor Santa Clara Santa Cruz Sarteneja Tacistal Xaibe Yo Chen Altamira Other Corozal Orange Walk Town August Pine Ridge Blue Creek Carmelita Chan Chich Chan Pine Ridge Douglas Gallon Jug Gold Button Ranch Guinea Grass Indian Church Las Milpas Mameyal Richmond Hill San Estevan San Felipe San José San José Nuevo San José Palmar San Juan San Lázaro San Pablo Santa Marta Shipyard Sylvestre Camp Tower Hill Trial Farm Trinidad Wahmil Yo Creek Indian Creek Indian Hill Estate San Luis Yalbac Cross Creek San Carlos New Hope Petville Bacadia Cuatro Leguas San Lorenzo Tres Leguas Honey Camp Other Orange Walk Belize City San Pedro Town Bermudian Landing Biscayne Bomba Boston Burrell Boom Caye Caulker Corozalito Crooked Tree Davis/Grace Bank Double Head Cabbage Flowers Bank Gale Point Gardenia Gracie Rock Hattieville Hendy Bank Isabella Bank La Democracia Ladyville Lemonal Lords Bank Lucky Strike Maskall May pen Rancho Dolores Sand Hill Santana Scotland Halfmoon St. Pauls Bank Willows Bank Mile 25 Village Freetown Sibun Western Paradise/West Lake/8 Miles Rock Stone Pond Mahogany Heights St. Anns Village St. Georges Caye Other Belize Belmopan Benque Viejo San Ignacio Santa Elena Arenal Augustine Beaver Dam Blackman Eddy Branch Mouth Bullet Tree Falls Calla Creek Camalote Central Farm Chial Cool Shade Cotton Tree Duck Run 1 Esperanza Franks Eddy Georgeville Las Flores Barton Creek Macaw Bank More Tomorrow Ontario Pilgrimage Valley Paslow Falls/Plant Pueblas Ramonal Roaring Creek Ringtail Village Salvapán San Jorge San José Succotz Santa Familia Santa Rosa Spanish Lookout St. Mathews Teakettle Unitedville Valley of Peace Los Tambos Armenia Maya Mopan Roaring River San Martín Billy White La Gracia Selena Duck Run 2 Duck Run 3 San Marcos Santa Teresita Spring Field Seven Miles Other Cayo Dangriga Alta Vista Big Creek Cow Creek Cow Pen Georgetown Hope Creek Hopkins Long Bank Independence Maya Beach Maya Centre Melinda Middlesex Mullins River Placencia Pomona Red Bank Riversdale Rum Point Sarawee Seine Bight Silk Grass Sittee River South Stann Creek Steadfast St. Margaret Mango Creek Bella Vista Hummingbird Community Kendall Valley Community Other Stann Creek Punta Gorda Town Aguacate Barranco Big Falls Black Creek Bladden Calacomos Cattle Landing Conejo Corazón Crique Jute Crique Largo Crique Sarco Crystal Creek Deep River/Medina Bank Dolores Elridge Forest Home Golden Beauty Golden Stream Hicattee Jacinto/Westmoreland Jalacté Jordan Laguna Mabilha Machakila Mafredi Mango Walk Moho River Monkey River Moody Hill Na Lum Kah Otoxha Pueblo Viejo Punta Negra San Benito Poite San Lucas San Miguel San Vicente Santa Ana Santa Teresa Sarstoon Silver Creek Sunday Wood Swasey Trio Wilson Road Boom Creek Crique Trosa Dump Emery Grove Genus Graham Creek Hopeville Medina Bank Midway New Road Area Pinehill Sholville Tambran Yemery Grove San Isidro Other Toledo

Producer Type*

Producer Type*FarmerAgro ProcessorAgri Input Provider

Producer Group*

Producer Group*Individual Company Cooperative Association Cluster Group Partnership

MOA BAIMS ID

MOA BAIMS ID

Password*

Password*

Confirm Password*

Confirm Password*

* Agree  Terms & Conditions