Wholesale Account Registration Thank you for your interest in a wholesale account with CBD LUXE. Please fill out the form below and your application will be reviewed. Once your account is approved you can sign in and place your wholesale orders online. Please contact us with any questions, [email protected] or call 1-855-933-1615.Name* First Last Company Name* Company Website Phone* Enter 10 digits starting with area code.HiddenIntl PhoneAccount Email* Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Tax ID Number (EIN)* Your 9 digit EIN ( XX-XXXXXXX )Tax ID VerificationAccepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.Upload your IRS EIN confirmation letter, a legal, financial or other business document, operation license, sales tax license, etc. displaying your EIN. Acceptable file formats (jpg, jpeg, png, pdf)VAT or VATIN ID Number* Your 9-12 alphanumeric character VAT identification numberDo you sell online?* Yes No Ecommerce Website* Number of retail locationsAre you a distributor?* Yes No Referred by CBD LUXE affiliate?* Yes No Who referred you?*Select AffiliateArmida PatinoAudrey PytlikCheyanne HansenCollin CoxDaniel DickersonIsaiah JacobsJEPH BLANCHARDJelani AnthonyJody EdwardsJoey GirardinKerry SingletonLauren BridgesMELANIE BEVERLYMark DeBrincatPatrick MillerPaula damasoRhett BiehahnRobert SchroederTodd Kopetsophia kosmatosOtherPlease select your sales representative.Consent* I agree to the Privacy Policy and Terms of Use.By using this site or our online store, you agree to be bound by and comply with this Privacy Policy and our Terms of Use. * Links open in new browser window.EmailThis field is for validation purposes and should be left unchanged.
