PACT Act - Document Collection Form
This form is to be used by Greenlane customers to easily provide their most up-to-date state tobacco, vape, and state resale licenses.
To learn more about PACT Act please
CLICK HERE
Name
*
First Name
Last Name
Store Name
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
File Upload - Tobacco License - if you do not have Tobacco License because you do not sell tobacco products, please submit your most up to date State Resale License
*
Browse Files
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of
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Should be Empty: