Username or email address *
Password *
Remember me Lost your password?
Login
Email address *
User Type * CustomerWholesalerAffiliate
Are you 21 or older? *
I confirm that I am over 21 years.
First Name *
Last Name *
Company Name
Street Address *
Address Line 2
Country and State *
Select a country / region…Puerto RicoUnited States (US)Update country / region
Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)
Town / City *
Postcode / ZIP *
Phone Number
Business Type *RetailerWholesalerDistributorFlea Market VendorE- CommerceDropshipper
EIN / Sales Tax Number (If you operate as a Sole Proprietorship please use your Social Security number.) *
Enter your SSN or FEIN, if you have a business or DBA
Attach Resale Certificate (If you are in a state which requires a resale or certificate of authority to collect sales tax, please upload your certificate above. Images must be under 3mb.) *Supported file types: jpg, jpeg, png, txt, pdf, doc, docx
OR
I certify that my state does not require a resale or certificate of authority.
Upload Wholesale Agreement (File is provided, below. Please download PDF file, fill out the form, and upload it here.) *Supported file types: jpg, jpeg, png, txt, pdf, doc, docx
Upload Independent Contractor Agreement (File is provided, below. Please download PDF file, fill out the form, and upload it here.) *Supported file types: jpg, jpeg, png, txt, pdf, doc, docx
Upload W-9 Form (File is provided, below. Please download PDF file, fill out the form, and upload it here.) *Supported file types: jpg, jpeg, png, txt, pdf, doc, docx
Send me updates & special offers
Wholesale Agreement (PDF)- Download. Fill-in form. Upload on the above required field.Legal Opinion D8-THC
Independent Contract Agreement (PDF)- Download. Fill-in form. Upload on the above required field.W-9 (PDF)- Download. Fill-in form. Upload on the above required field.
Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.
Register
Mrs. Buckbee’s Wake & Bakery 275 Deane Drive, Rockford, IL 61107
(779) 256-2885
Read More