P.A.C.T ACT B2B INFORMATION FORM
for Shipping at Sweet Southern Trading
Business Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Confirmation Email
example@example.com
Business Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Upload Pic of Your licenses
*
Browse Files
Drag and drop files here
Choose a file
Upload all applicable state and federal licenses or permits that authorize the entity covered by this application to engage in the applicable business.
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of
Upload Pic of Tobacco License (if needed)
Browse Files
Drag and drop files here
Choose a file
Tobacco Retail Dealer Permit, CBD Dealer Permit, Annual Food Permit
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of
Describe nature of business activities
6A - Provide name and address of business or government entity to which cigarettes or smokeless tobacco will be mailed (addressees) in the form that such information will appear on any package mailed under this application.
For each business entity listed in 6a, describe the nature of that entity’s business activities (e.g., import, export, wholesale, distribution, testing,investigation, research, manufacture).
For each business entity listed in 6a, provide information and furnish copies of all recipients’ legal status (applicable licenses). Attach copies of all supporting documentation.
For each business entity listed in 6a, provide citations to regulations, statutes, or other legal authority under which the entity operates.
Provide citations to regulations, statutes, or other legal authority under which the entity covered by this application operates.
Information about agent/employee completing the application:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Signature
Math Challenge
Submit
Should be Empty: