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FACILITY
MENU
DISTRIBUTION
ONBOARDING
Customer Onboarding
Legal(Licensed) Business Name Name
DBA-Doing Business As
Address
Services/Products Interested In
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
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