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FACILITY
MENU
DISTRIBUTION
ONBOARDING
Customer Onboarding
Legal(Licensed) Business Name Name
*
DBA-Doing Business As
*
Address
*
Services/Products Interested In
*
Required
Distribution
Bulk Flower
Retail Packaged Flower
Prerolls
White Labeling
Other
Primary Contact
*
Primary Contact Phone #
*
Primary Email
*
Delivery Days/Hours
*
Driver Name(Pick up Only)
FEIN-Federal ID Number
*
Type(s) of DCC Licenses
*
Upload DCC License
*
Upload File
Upload supported file (Max 15MB)
Upload copy of CDTFA Seller's Permit
*
Upload File
Upload supported file (Max 15MB)
Upload copy of completed W-9 form
*
Upload File
Upload supported file (Max 15MB)
Accounting Contact
*
Accounting Contact Phone #
*
Accounting Email
*
Intake Process
*
Make & Model of Vehicle
Driver Phone Number
Driver's License Nunber
Apply
Thanks for submitting!
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