CBD RESELLER APPLICATION!

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BUSINESS INFORMATION
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Your Business Name: (required)

Your Business Phone: (required)

Your Registered EIN / Reseller Number: (required)

Attach Resale Certificate: (if possible)

Your Business Email: (required)

Your Business Website: (required)

Your Shipping Address: (required)

Your Suite or Office#:

Your City: (required)

Your State / Province: (required)

Your Postal / Zip Code: (required)

Trading Since: (required)

Type Of Business: (required)
>>Please Select All That Apply

—Internet / E-CommerceStore FrontWholesaleReseller

Your Preferred Payment: (required)
—PayPalZelle / Bank TransferMoney OrderCheckVisa / Mastercard

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BUSINESS REPRESENTATIVES INFORMATION
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First Name: (required)

Last Name: (required)

Personal Address: (required)

Your Building or Suite#:

Your City: (required)

Your State / Province: (required)

Your Postal / Zip Code: (required)

Personal Phone: (required)

Please answer the following question to the best of your ability:

What would be the biggest benefit of you selling our products? (required)