Reseller Registration – CWA Sales

Username or E-mail*

Password*

Business Name/DBA*

Entity*

Your Company Name*

Address*

Street Address

City*

State / Province / Region*

ZIP / Postal Code*

Country*

Tel Number

Fax Number

Years In Business*

Account Type*

Owner/Manager*

First Name

Last Name

Phone Number*

Cell Phone

E-mail Address*

Driver’s License Number*

Driver’s License Copy*

Driving License Expiration Date*

Your Annual Re-sale Certificate No*

Annual Re-sale Certificate No

Expiration Date

Other Licenses

Expiration Date

Other Licenses

Other Licenses Cigar

Yesno

Cigar License No.

Expiration Date

Cigar License

Other Licenses Tobacco OR Beverage License No

yesno

Tobacco OR Beverage License No

Expiration Date

Tobacco OR Beverage License No

Import/Export

yesno

Origin Country*

Passport No*

Expiration Date *

Passport Upload*

Terms of Service*

You agree to our Terms & Conditions.

Only fill in if you are not human

Our clientele comprise of members in the retail industry - gas stations, convenient stores, gift shops, malls, and flea markets. Our distribution center is located in Ft. Lauderdale, Florida. It is a focal point that allows us to reach markets as far south as the Keys and as far North as West Palm Beach.

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QUICK LINKS

QUICK LINKS

CONTACT

Address : 4750 NW 15th Avenue, Suite D
33309 Fort Lauderdale, FL
United States
Phone: (954) 351-0080
Email: support@cwasales.com