THIS PRODUCT CONTAINS NICOTINE. NICOTINE IS AN ADDICTIVE CHEMICAL.

Registration

Contact information

Business information

Additional information

Documents Required

Business License Number

Business License

OTP/Vape/Tobacco License Number

OTP/Vape/Tobacco License

Federal EIN Document Number

Federal EIN Document (FEIN)

Driving License Number

Driving License

Bank Name

Void Check

I have read,understand and agree to be bound by the above

Addendum to ACH Authorization Agreement
Purchaserundefined undefinedagrees that in the event of a defualt or breach of this agreemnet by Purchaser,to include failure to pay invoice(s)in full,proper venue for any claim by Just Prime Distro against Purchaser shall reside in the Circuit Court of henry country,Georgia.This agreements shall be governed by the law of the State of Georgia.
Purchaserundefined undefinedagrees that undefined undefinedshall personally guarantee the payment of any sums due and owing by Purchaser by Just Prime Distro

I have read and agree to Just Prime Distro Terms of Use & Privacy Policy.