Registration – Big Brands Distro

Personal Information

First Name *

Last Name *

State Sales Tax Permit *

No file chosen

Federal EIN Document *

No file chosen

Tobacco License *

No file chosen

Website

TAX ID Number *

Address Information

Company Name *

Phone Number *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Sign-in Information

Username *

Email *

Password *

Confirm Password *

Business Information

How is your business set up? *

How is your business organized? *

How many years have you been in business? *

What type of business do you run? *

How many locations do you currently have? *

How did you hear about us?

How much does your business intend to spend on inventory per month? (USD) *