Art of Glass

PACT ACT WHOLESALE FORM

The Federal Pact Act requires distributors to collect and verify business information from all customers.

Please fill out this form at your earliest convenience. We will be unable to fulfill orders without updated business information and documentation.

Full Name

* First Name

* Last Name

Business Name * Please enter your full business name

Business Address (Shipment Address) * Street Address

Street Address Line 2 (Suite / Unit Number)

* City

* State

* Zip Code

Business Phone Number

Business E-mail * example@example.com

Federal EIN Number * Example 99-1234567

* Upload Federal EIN Document

State Tax ID / Business License * Please enter your State Tax ID / Business License as it appears on the document

* Upload State Tax ID / Business License

Tobacco License (If applicable in your state) Please enter your Tobacco License Number as it appears in the document

Upload Tobacco License