NEW FARM REGISTRATIONS

Farm On-Boarding:

A copy of your current state license, seller's permit, and a completed W-9 will be required to complete this onboarding form. If you need assistance, contact Farm Relations: Sarah@redwoodrootsfamily.com | (707)599-3790
Legal Business Name*
DBA
if applicable
Primary Contact*

First NameLast Name
Primary Contact Phone Number*
Format: (000) 000-0000.
Primary Contact Email*
example@example.com
Premise Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
YesNo
Premise Contact / Secondary Contact

First NameLast Name
Premise Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Premise Email
example@example.com
Purchase Orders and Cash ReceiptsSales HistoryInventory StatusProcessing ReportsManifestsCosting and Pricing Information
YesNo
Pick Up Address (Address on your Cultivation License)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing / Accounting Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Accounting Contact

First NameLast Name
Accounting Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Accounting Email
example@example.com
Purchase Orders and Cash ReceiptsSales HistoryInventory StatusProcessing ReportsManifestsCosting and Pricing Information
CashCheck - Net 30 TermsWire Transfer - Coast Central Credit Union - Net 30 Terms
Mail CheckPickup Check at Headquarters in Benbow
Please Type in Name to be printed on Check
Coast Central Account Type
Coast Central Account Number
This is the account number listed on your checks
Coast Central Routing Number
Coast Central Account ID
This is the 6-digit number you can find through the website or on the app
Coast Central Share ID #
This is the 4-digit number located after your 6-digit account number, you can also find this through the website or on the app
First 3 Letters of the Business Name
Please list all individuals who are authorized to receive payment.*
Please provide first and last name
Compliance Docs

Please make sure all documents are current, accurate, and can be read clearly
State License(s)*

Please provide all state licenses which you use
Cancelof
CDTFA Seller's Permit*

Cancelof
W-9*

Cancelof
Access a blank W-9 here if needed.
Some sales may require COA testing as a condition of the sale. In order to complete the required COA testing, the testing laboratory requires the following information: Licensed cultivator’s, licensed manufacturer’s, or licensed microbusiness’ name, licensed premises address, and license number. Any sales that require COA testing are not final until the test results have been received. Redwood Roots Distribution, LLC will not share your license information for any other reason without the license holder's explicit permission.
Should be Empty:

Farm On-Boarding:

Compliance Docs