Register Account

TO BE APPROVED FOR A WHOLESALE OR DISTRIBUTION ACCOUNT, PLEASE PROVIDE THE FOLLOWING INFORMATION.

California Resale Certification Form
(If your business is located in California, Please fill up the form and upload below)

If you already have an account with us, please login at the login page.

Customer Group

Distributor

Store [CA]

First Name

Last Name

E-Mail

Telephone

Seller's permit

License expiration date

Tobacco license Number

License expiration date

Retailer / Wholesaler License (Max Upload 10mb)

Seller's permit

Tax Ein (Max Upload 10mb)

California Resale Certificate

Company

Address 1

Address 2

City

Post Code

Country

Region / State

Password

Passwords must be at least 4 characters in length.

Password Confirm

Salesman

Yes No

I have read and agree to the Privacy Policy