Call us today: (754) 400-9571
2342 Thomas St, Hollywood, FL 33020
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Company Information
Business Name
DBA (Doing Business As)
Business Address
City
State
ZIP Code
Business Phone
Business Email
Website URL
Primary Contact Information
Contact Name
Title/Position
Phone Number
Email Address
Business Details
Type of Business: (Check all that apply)
Smoke Shop
Vape Shop
Convenience Store
Online Retailer
Distributor
Other
Years in Business
Number of Locations
Federal Tax ID (EIN)
Resale Certificate Number
Business License Number
Tobacco License
Please attach copies of the following documents
Business License
Resale Certificate
Federal Tax ID Confirmation
Credit Card Authorization Form
Tobacco License
For assistance, contact our Wholesale Support Team at 754-400-9571
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