Application for Wholesale Account

Registration for Wholesale Account




Authorized Buyers:

These are the ONLY people that we can give information to, or accept orders from on your account. This is for your protection.


List All Owners:




How Did You Hear About Us?


Have you ever had an account with us before?


Please tell us a little about your business:


Certificate of Exemption

(Sales Tax Form)

The undersigned hereby certifies that the articles of tangible property purchased from Prime Shine Hemp, LLC after

shall be purchased for:

Purchaser must state statutory reason for claiming exemption or exception:

This certificate shall continue in force until revoked and shall be considered a part of each order given to the above named vendor unless the order specifies otherwise.


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