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Company Details
Company
*
DBA (Doing Business As)
Name
*
First
Last
Username
*
Email
*
Phone
*
FAX
Shipping Address
Shipping Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
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California
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Connecticut
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District of Columbia
Florida
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Hawaii
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State
Zip Code
Billing Same as Shipping Address
*
Yes
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Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
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New York
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North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Tax Information
Type of Exemption Number
Exemption Number or Taxpayer ID
Foreign Diplomat Number
Driver's License Number
FEIN
Exemption Number
Effective Date
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Expiration Date
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1932
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1927
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1921
1920
About your Business
What type of business are you? (select all that apply)
*
Ecommerce
Wholesale
Distribution
Retail
How do you sell your products? (select all that apply)
*
Smoke Shop
Dispensary
Boutique, Tattoo, Hydroponic, Convenience, Adult, Music, Vapor, Other
Ecomm - Amazon, Ebay, Wish, Jet, Walmart, FBA, or Merchant Fulfillment
Personal Website
Distribution/Warehouse
How many locations do you currently have?
*
What kind of products are you interested in?
*
How much does your business typically spend on inventory per year? (USD)
*
Less than $10,000
$10,000 - $50,000
$50,000 - $100,000
$100,000 - $250,000
More than $250,000
How did you hear about us?
*
Internet Search
Internet Search
Word of Mouth
Social Media
Trade Show
Website
Other
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