Register Nowadmin2024-03-01T13:25:03+00:00Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Company Name / DBA *Corporation NameState of IncorporationAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAddress *City *State *Country *Zip Code *Telephone *Owners Name *MobileEIN # *Sales Tax ID# *Driving License/State ID# *Drivers License Expiration Date *Driving License Issuing State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingEmail (Username) *Tobacco License Issue DateTobacco License End DateTobacco License File Click or drag a file to this area to upload. FEIN Document# * Click or drag a file to this area to upload. Upload Your Business License# Click or drag a file to this area to upload. If you're required to collect sales tax on product you sell in your state, upload your State Sales Tax Permit. Click or drag a file to this area to upload. Sellers permit/tax certificate upload. Please include your business name in the file upload. Failure to do so may confuse the Dazed 8lves. Click or drag a file to this area to upload. Do you have a valid seller's permit? *YesNo (I understand my account will be charged sales tax)Other Documents Click or drag a file to this area to upload. *I certify that I have read and understand all terms and conditions ( Privacy Notice, Shipping and Return Policy)Submit
