Contact Information

Name*
*First Name *Last Name
Business Name*
Address*
Address Line 2
City*
State / Province*
Zip
Country*
Business Phone*
Mobile Number 1
Mobile Number 2
Email*
Vendor Information
You may select more than one option, if applicable.
Type of Business:
- Physical Store (Brick & Mortar)
- Online Store
You may select more than one option, if applicable.
Seller's Permit Number:

Please provide either your Seller's Permit, Tax ID Number, or Business/Tobacco License Number.
Web/Social Presence:
Do you have any of the following? (check all that apply)
- Website
- Facebook
- Twitter
- Google
- None
Website*
Facebook*
Twitter*
Google*
Instructions
Wholesale orders don't qualify for rewards points, coupons, or free shipping. These are offered to retail customers only (B2C Customers Only)

Regarding Samples:
Due to the overwhelming number of requests for samples, we don't offer any at this time. However, we believe there is a considerable amount of positive reviews, on our website and elsewhere, that will help you in choosing which products/blends will be most suitable for your store. Here is a link to a few reviews on Black Note. We think you will find them informative: https://www.wordpress-717091-4565333.cloudwaysapps.com/reviews-and-testimonials/.

International Vendors:
Wire transfer is the ONLY acceptable method of payment for international order.
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Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 8.
Notes

Vendor Information