PACT ACT FORM

ATF PACT ACT
PACT ACT FORM

GLOBAL SOURCE DISTRIBUTION REQUIRED INFORMATION
For all current and future resellers, Global Source Distribution is required to obtain the following information. In order to remain our customer and to become a future customer, please submit the following form to ensure we have your information on file.
Business Owner*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Business Name: *
Doing Business As
Shipping Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
FEIN Number*
Upload Proof Business FEIN*

Upload a File

Cancelof
Upload Business License (if applicable)

Upload a File

Cancelof
Upload State Sales Tax Permit (if applicable)

Upload a File

Cancelof
Upload Tobacco License (if applicable)

Upload a File

Cancelof
IMPORTANT: Prior to hitting submit, read the following.

The shipping address above MUST match the address on your Sales Tax Permits and Tobacco License.

Mutli Store Shipments:

If you have multiple shipping locations, submit a form for each shipping address and include proper documents.
Prefered method of contact?*
Should be Empty: