Username Password First Name Last Name Contact Person Title Contact Person Email Mobile Number City State Zipcode Business Name Number of Locations Primary Business FocusPhysical store that customers visit to make purchasesCustomers purchase through an E-commerce websiteBusiness Address Business Website Address Address 2 Business DescriptionA Federal Business ID Number is required when you are unable to provide a Tax ID numberFederal Business ID Number Tax ID Number Headquarters Address City State Zipcode Please upload one of the following documents for business verificationBusiness LicenseReseller Tax IDFederal Tax ID/EINOTP(Other Tobacco Products) Tax PermitUpload OTP(Other Tobacco Products) Tax PermitUploadUpload FileClick here for Upload Upload File Click here for UploadHow did you hear about us?Buffalo Distro WebsiteOnline AdvertisingFriend / FamilyOther*If Other, Please Specify Only fill in if you are not human
