Customer On-Boarding
On-boarding
By filling out this On-boarding form, I certify that information provided on this application is true and accurate to the best of my abilities. I understand that withholding of information or giving false information will result in a disciplinary action up to and including termination of any contractual agreement with Joyus Recreation and Wellness Group
Legal (Licensed)Business Name
*
FEIN-Federal ID Number
*
DBA-Doing Business As
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Services /Products Interested In (Check all that Apply)
*
Distribution
Flower
Clones
Crude
Distillate
Concentrates
Processing
Beverages
Edibles
Other
Use Type
*
Medical
Adult Use
Type of BCC Licences
*
Upload copy of BCC
*
Browse Files
Cancel
of
Upload copy of Active CDTFA Seller’s Permit
*
Browse Files
Cancel
of
Upload copy of Completed W-9 Form
*
Browse Files
Cancel
of
Primary Contact First & Last Name
*
Primary Contact Phone Number
*
-
Area Code
Phone Number
Primary Contact Email
*
example@example.com
Accounting Contact First & Last Name
*
Accounting Contact Phone Number
*
-
Area Code
Phone Number
Accounting Contact Email
*
example@example.com
Delivery Days/Hours
*
Intake Process
*
Name of Person Transporting (If your company or licensed 3rd party is doing pickup)
Driver’s Phone Number
-
Area Code
Phone Number
Driver’s State Drivers License No.
Driver’s License Plate No.
Make, Model of Vehicle
Joyus Rep (how did you get this form)
*
Are you interested in terms? (Standards are COD)
Yes
No
Maybe
Please verify that you are human
*
Submit
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