Pact act

Pact act form submission

Due to recent changes regarding the Pact Act law we are required to collect the below information to continue providing service to our destributors.

First Name

Last Name

Company Name

FEIN #

Company Address

Address Line 2

City

State

Postal / Zip Code

Country

Phone

Business License if required in your state. Max File Size 5mb(pdf, jpg, jpeg, tiff, png)

Tobacco License if required in your state. Max File Size 5mb (pdf, jpg, jpeg, tiff, png)

Additional State issued licenses that may be required by your State. Up to 4 additional files. Max files size 5mb (pdf, jpg, jpeg, tiff, png)

Pact act

Pact act form submission

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