Wholesale Application Request
All (*) fields must be filled out for request to be processed. It may take up to 10 business days to process application once request and all supporting documents are received.
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  • Stores
  • Type
  • Please upload a copy of your Business license, state registration or merchant's certificate, state sales tax certificate of exemption, and / or any medical certificates or license copy (if applicable).
  • Billing and Shippng Information