C-store and Liquor Store

  1. Business Name
  2. Corporation Name
  3. EIN Number
  4. CT.3 (Cigarette License)
  5. CT.3T (Cigar License)
  6. ENDS – (Vape License)
  7. Drivers License Is Mandatory! (Required)
  8. Business Owner Contact details
  9. Store Employee Contact details

Food Store (Who carries some cigarettes)

  1. Business Name
  2. Corporation Name
  3. EIN Number
  4. Drivers License Is Mandatory! (Required)
  5. Business Owner Contact details
  6. Store Employee Contact details

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