Register – My Store

Wholesale Application

Credit Card Form

North Carolina Form

ACH Collection Authorization Form

Customer Support

1 Personal Information

First Name

Email Address

Your Position

Last Name

Mobile Number

Owner State Issued ID

2 Business Information

Company Name

Business Address

State

Smoke Shop Picture*

City

ZIP

Company Number

City

ZIP

Smoke Shop Address

State

3 Business Documents

Fed Tax ID #

Resale Certificate #

Federal Tax ID File*

Resale Certificate File

4 Access Details

Only fill in if you are not human