Become a Retailer

Please upload the applicable retailer form below, along with your tobacco license:

ST-3 NR (NON NJ).pdf ST 3 (new Jersey) .pdf

Please upload your tobacco license and the appropriate retailer form from above.*

Business Name* Trading As* First Name* Last Name* Phone Number* Email* Shipping Address* Shipping City* Shipping State* Shipping Zip Code* Billing Address* Billing City* Billing State* Billing Zip Code* Credit Card Number* Name on Credit Card* Credit Card Expiration Month* Credit Card Expiration Year* Are you a New Jersey Seller?* Yes No

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