Vendor Membership Application

Vape Vendor Member Application

THANK YOU FOR RAISING YOUR VOICE FOR VAPING! YOUR SUPPORT WILL HELP US WIN THE FIGHT TO SAVE THE VAPING INDUSTRY !
Your Name*

First NameLast Name
Business Name*
Input your Business Name
Select which applies to you.*

Retail SalesWholesalerDistributor
E-mail*
example@example.com
Birth Date*

MonthDayYear
Phone Number*

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How would you like to be notified of our upcoming events?*

EMAILSSMSEMAILS & SMS
AGREEMENT: I hereby support the mission of VAPETT and have decided to join as an Individual Member and offer this application for membership which, I understand, is being reviewed subject to VAPETT, rules and policies. If approved, please enroll me as a VAPETT Vendor member.
Upload a photo of your National ID/DP*

Browse Files
Upload a photo of your National ID/DP. This is to confirm your age Cancelof
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Vape Vendor Member Application