WARNING:This product contains nicotine. Nicotine is an addictive chemical.
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PACT ACT FORM
CACUQ VAPE PACT ACT FORM
For all current and future resellers, CACUQ Vape is required to obtain the following information. In order to remain our customer and to become a future customer, please submit the following form to ensure we have your information on file.
Please log in, the known information will be filled in automatically after login
Email Address
First Name
Last Name
Company Name
Street Address
Address Line 2
City
State / Province / Region
Zip
Phone Number
FEIN #
BUSINESS UPLOADS
Upload pictures of your EIN card or Business Certificate / License and Tobacco License if required by state.