Fill out the form below to start your application with Amazon Hub Delivery.
Please note: This form is for registered businesses only.

First Name

Last Name

Email Address Please use an email address that you will have access to for the duration of your application

Phone Number

Legal Business Name Legal Business Name or DBA

Zip Code Zip code where your business is located

How did you hear about us? Amazon Representative Visit Referral Chamber of Commerce or Local Organization Local Event Google Facebook Postcard Newspaper Ad Radio Ad Email Instagram LinkedIn Mobile Ad Nextdoor App Door hanger Podcast Streaming/Broadcast TV Reddit Other Select an answer choice from the list

Sales Assistant The name of the Amazon Representative that helped you.

Referral First Name

Referral Last Name

Referral Email

SMS Messaging Consent true For more information on how we handle your data, please see our Privacy Policy and Terms of Service.

Comments

By submitting this form I hereby acknowledge that the information collected on this intake form is true, accurate, and will be used in the application process to become an Amazon Hub Partner. If the information I provide is not true and accurate, I understand that Amazon may no longer consider my company for Hub Delivery.