New Account

Become A Customer

DistroX Wholesale Products is a wholesale distribution company that does not sell to the general public. The following registration form is for business only

Account Information

Company Name

Primary Contact Title (Title of the person who will use this account. Ex: Purchaser, CEO, etc.)

First Name

Last Name

Primary Business Email

Phone Number

Mobile Phone Number or Direct Line

Sign-in Information

Username (Same as the email above)

Password

Confirm Password

Business Information

Legal Company Name

Business DBA (Doing Business As - Alternative Name of the Company)

Type Of Reseller

Business Website

Business Address Street Line 1

Business Address Street Line 2

City

State/Province

ZIP/Postal Code

Country

Business License

Business License Number

Business License - Effective Date

Business License - Expiry Date

Required Upload

Upload a copy of your business license*
Files must be in .jpg,.jpeg,.png or .pdf format

Resale Certificate / Certificate of Exemption

Required Upload

Upload a copy of your Resale Certificate*

Files must be in .jpg,.jpeg,.png or .pdf format

Tobacco / Vapor / OTP Licenses (If applicable to your state)

Tobacco License Number

Tobacco License - Effective Date

Tobacco License - Expiry Date

Optional Upload

Upload a copy of your Tobacco License
Files must be in .jpg,.jpeg,.png or .pdf format

If your state does not require a Tobacco License or is a non-excise tax state, you can skip to the next part of the registration.

Federal Tax ID (FEIN) or SSN (Sole Proprietors)

Required Upload

Upload a copy of your Federal Tax ID or SSN Document*
Files must be in .jpeg,.jpg,.png or .pdf format

Other Information(Optional)

How did you hear about DistroX Wholesale?

Comments

Please email me with the specials and product information

Starter Kit Brands

Hemp Brands

Alternatives Brands

Device Brands

Accessories Brands

E-Liquids Brands

Starter Kit Brands

Hemp Brands

Alternatives Brands

Device Brands

Accessories Brands

E-Liquids Brands

New Account

Become A Customer

Federal Tax Id/EIN*

Resale Certificate # / Certificate of Resale #(Optional)

Starter Kit Brands

Hemp Brands

Alternatives Brands

Device Brands

Accessories Brands

E-Liquids Brands