Sign Up - Southern Wholesale

Questions? Call Us

(813) 621-8171

Sign Up

enjoy the benefits of membership

become a member today

Contact Information

First Name *

Last Name *

Contact First Name

Contact Last Name

Primary Email *

Secondary Email

Username *

User Password *

Confirm Password *

Business Information

Legal Business Name *

DBA or Store Name *

Phone *

Store Phone

Shipping Address

Shipping Street

Shipping City

Shipping State

Shipping Postcode / Zip

Billing Address

Billing Address *

Billing City *

Billing State *

Billing Postcode / Zip *

Documents Required

Resale Tax Certificate Number *

Resale Tax Certificate *

Drop your file here or click here to upload You can upload up to 1 files

OTP/Vape/Tobacco License Number *

OTP/Vape/Tobacco License *

Drop your file here or click here to upload You can upload up to 1 files

Federal EIN Document Number

Federal EIN Document (FEIN)

Drop your file here or click here to upload You can upload up to 1 files

HTML

Driver's License *

Drop your file here or click here to upload You can upload up to 1 files

Void Check *

Drop your file here or click here to upload You can upload up to 1 files

Agreements

User Agreement *Addendum to ACH Authorization Agreement Purchaser _ agrees that in the event of a defualt or breach of this agreement by Purchaser, to include failure to pay invoice(s)in full, proper venue for any claim by Southern Wholesale of Florida LLC against Purchaser shall reside in the Circuit Court of Hillsborough County, Florida. These agreements shall be governed by the laws of the State of Florida. Purchaser _ agrees that they shall personally guarantee the payment of any sums due and owed by Purchaser to Southern Wholesale of Florida LLC

Privacy Policy *I have read and agree to Southern Wholesale of FL llc's Terms of Use & Privacy Policy.