CHI-TOWN BLOSSOM
Chit Own the Blossom...
Fill out our Wholesaler's application
Be sure to have all documents. We are requesting LLC paperwork, business or marijuana license, & a letter from your bank stating you have a business bank account.
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Name
Business EIN
License Number
What type of license do you have?
Business Sales Tax
Dispensary
Processor
Infuser
Other
Copy of LLC & Business License or Cannabis license
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of
Upload Statement of Business Bank Account Ownership
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When do you need to Start Selling Products? (This will help us review your application before deadline.)
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Month
-
Day
Year
Date
Submit
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