SECTION: 1 of 4 Account Manager Information Company Name * First Name * Primary Contact Title Last Name * Primary Business Email * This will be used to shop on Smokervapor.com and can't be changed later Phone Number * Mobile Phone Number or Direct Line SECTION: 2 of 4 Location Information Location * Location Shipping City * Location Shipping Postal Code * Location Shipping State * Location Shipping Email * SECTION: 3 of 4 Licence Information Location Primary Contact Full Name can be same as account creator Location Government ID Type Choose One - SSN for Sole Proprietors is typical, for all others please choose FEIN Federal Text ID (FEIN) Social Security Number Please Enter this locations Federal EIN number* * Example : 0124691345 Please Upload A Copy Of Federal EIN Letter Select File(s) Social Security Number for Sole Proprietor * * Example: 126928573 Please Upload A Copy Of Social Security Card For Verification Select File(s) SECTION: 4 of 4 Document Upload Please note that we must receive documentation for each shop/location you plan to ship orders to. We will contact you for additional or corrected documentation based on your answers below. Account Owner ID Select File(s) Please submit a copy of a Federal or state issued ID for verification Number Of Locations * Number of unique locations you plane to ship to Customers who plan to purchase Vapor products must choose to submit either a retail license or vapor license from below Select The State You Hold a Retail Licence In Please Select AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MP MS MT NC ND NE NH NJ NM NV NY NYC OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Select The State You Hold a Wholesale Or Distributor Licence In Please Select AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MP MS MT NC ND NE NH NJ NM NV NY NYC OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Upload: Tobacoo Retailer Doc Select File(s) Upload: Tobacoo Instate Wholesaler Doc Select File(s) Log In | Lost Password
