WHOLESALE BUYERS INQUIRY FROM
PCA 2026
AraoCigars.com info@araocigars.com
1 BUSINESS INFORMATION
Legal Business Name
*
Trade Name / DBA
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone
*
Format: (000) 000-0000.
Business Email
*
example@example.com
Website
Federal EIN / Business Tax ID
State of Formation
2 BUYER TYPE
Buyer Type
*
Retailer
Distributor
Broker
Online Retailer
Other
3 PRIMARY CONTACT
Full Name
*
Title / Role
Direct Phone
*
Format: (000) 000-0000.
Email
*
example@example.com
4 TOBACCO LICENSE & TAX (ATTACH COPIES)
TOBACCO LICENSE & TAX (ATTACH COPIES)
Rows
State
License / Permit Number
Expiration Date
1
2
3
Tax Exempt Number
Expiration Date
-
Month
-
Day
Year
Date
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6 NOTES / ADDITIONAL INFORMATION
Notes
7 SIGNATURE
Authorized Signature
*
Printed Name & Title
*
Date
*
-
Month
-
Day
Year
Date
Ara'o Cigars LLC Doral, FL Confidential
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