Retail Application Please enable JavaScript in your browser to complete this form.About you... A few questions before we get started. Do you sell a lot of leaves at your store? *YesNoHave your customers asked for our products? *YesNoDo you have a valid tobacco and resale certificate? *YesNoDo you or the shop employees smoke our products? *YesNoDo you own multiple shops? *YesNoBrothers Broadleaf Partnership Agreement: We are a premium cigar manufacturer and operate differently than other brands. For us to continually provide a superior product it is important to understand: Our products are 100% natural. We do not use any chemicals or preservatives to extend the shelf-life. If products sit for too long, they may not maintain the high quality we aim to deliver to all of our customers. We encourage smaller, more frequent orders to maintain and guarantee quality. Because of these differences, we require our partners to agree to the following: You will purchase only enough stock to last for 6-8 weeks. In the unlikely event a customer is unhappy with their purchase, please offer free replacements. We will make it up to you in full. We are committed to providing the best customer experience. If this is necessary reach out to us at sales@brothersbroadleaf.com or on Instagram: @brothersbroadleaf Signature * Clear Signature I agree to the terms above to begin and maintain my status as an official Brothers Broadleaf PartnerNextName of Business (DBA) *Name of Person Responsible for Purchasing *FirstLastEmail to be used for the Account *This email address cannot be already set up with a personal account, if the email is already set up then the personal account will be deleted so that the retailer account can be created.Contact Phone Number of Purchaser *Store Phone Number *Business InformationStreet Address of Store *Unit NumberCity *State *Choose StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code *FEIN *Please upload the following document(s) related to your state in .pdf .png .jpg .doc Sales Tax License * Drag & Drop Files, Choose Files to Upload Retail Tobacco Sales * Drag & Drop Files, Choose Files to Upload Tobacco Products Tax License * Drag & Drop Files, Choose Files to Upload Department of Revenue Privilege Tax License Drag & Drop Files, Choose Files to Upload OR enter Local Tobacco Retail License #Sales & Use Tax Permit * Drag & Drop Files, Choose Files to Upload Retail Tobacco Permit * Drag & Drop Files, Choose Files to Upload CA Board of Equalization Seller's Permit * Drag & Drop Files, Choose Files to Upload California Cigarette and Tobacco Products Retailers OR Distributors License * Drag & Drop Files, Choose Files to Upload Sales Tax License * Drag & Drop Files, Choose Files to Upload Tobacco Products Retailer License * Drag & Drop Files, Choose Files to Upload Sales & Use Tax Permit * Drag & Drop Files, Choose Files to Upload Tobacco Retailer License * Drag & Drop Files, Choose Files to Upload Annual Resale Certificate for Sales Tax * Drag & Drop Files, Choose Files to Upload Department of Business & Professional Regulation: Alcohol Beverages & Tobacco * Drag & Drop Files, Choose Files to Upload Certificate of Regulation: Sales & Use Tax * Drag & Drop Files, Choose Files to Upload Retail Tobacco License * Drag & Drop Files, Choose Files to Upload General Excise Tax * Drag & Drop Files, Choose Files to Upload Cigarette and Tobacco Tax License * Drag & Drop Files, Choose Files to Upload State Tax Commission Seller's Permit * Drag & Drop Files, Choose Files to Upload State Tax Commission Tobacco Tax Permit * Drag & Drop Files, Choose Files to Upload Illinois Business Authorization Certificate of Regulation Sales & Use or IL Department of Revenue Certificate of Regulation * Drag & Drop Files, Choose Files to Upload Illinois Department of Revenue Tobacco Products Retailer OR Cigarette & Tobacco Products Retailer * Drag & Drop Files, Choose Files to Upload Registered Retail Merchant Certificate * Drag & Drop Files, Choose Files to Upload Tobacco Sales Certificate * Drag & Drop Files, Choose Files to Upload Retail Sales Tax Permit * Drag & Drop Files, Choose Files to Upload Iowa Cigarette/Tobacco Retailer * Drag & Drop Files, Choose Files to Upload Retailer's Sales Tax Registration Certificate * Drag & Drop Files, Choose Files to Upload Sales and Use Permit * Drag & Drop Files, Choose Files to Upload (Louisville stores only) Jefferson County Tobacco Retailers Permit * Drag & Drop Files, Choose Files to Upload Department of Revenue Resale Certificate * Drag & Drop Files, Choose Files to Upload Tobacco Retail Dealer Permit * Drag & Drop Files, Choose Files to Upload Resale Certificate * Drag & Drop Files, Choose Files to Upload Retail Tobacco License * Drag & Drop Files, Choose Files to Upload Sales and Use Tax License * Drag & Drop Files, Choose Files to Upload Maryland Tobacconist License OR Other Tobacco Products Retailer * Drag & Drop Files, Choose Files to Upload Sales and Use Tax Registration * Drag & Drop Files, Choose Files to Upload Retailer License for Sale of Cigars OR Distributor License for Sales of Cigars * Drag & Drop Files, Choose Files to Upload Michigan Sales and Use Tax Certificate of Exemption * Drag & Drop Files, Choose Files to Upload State of Minnesota Depart of Revenue Sales Tax Number *Cigarette and Tobacco Distributor License * Drag & Drop Files, Choose Files to Upload Permit To Engage/Under Sales Tax Law * Drag & Drop Files, Choose Files to Upload Tobacco Permit * Drag & Drop Files, Choose Files to Upload Retail Sales License * Drag & Drop Files, Choose Files to Upload Department of Revenue Annual Tobacco Product License * Drag & Drop Files, Choose Files to Upload Master License - Tobacco Product Retailer * Drag & Drop Files, Choose Files to Upload Department of Revenue Sales Tax Permit * Drag & Drop Files, Choose Files to Upload Department of Revenue Tobacco Products License * Drag & Drop Files, Choose Files to Upload Sales Tax Permit * Drag & Drop Files, Choose Files to Upload Nevada Tobacco Retail Dealer’s License * Drag & Drop Files, Choose Files to Upload No Documents needed at this time (definition of tobacco does not include cigars)Certificate Of Authority: Sales & Use Tax * Drag & Drop Files, Choose Files to Upload Certificate Of Authority: Tobacco and Vapor Products * Drag & Drop Files, Choose Files to Upload Tax and Revenue Department Registration Certificate * Drag & Drop Files, Choose Files to Upload New Mexico Regulation and Licensing Department Tobacco License * Drag & Drop Files, Choose Files to Upload Certificate of Authority: Sales & Use Tax * Drag & Drop Files, Choose Files to Upload Certificate of Registration for Cigarette & Tobacco Products: Tobacco Retail Dealer License * Drag & Drop Files, Choose Files to Upload Sales and Use Certificate of Registration * Drag & Drop Files, Choose Files to Upload Tobacco Products (Other than Cigarettes) License * Drag & Drop Files, Choose Files to Upload Sales and Use Tax Permit * Drag & Drop Files, Choose Files to Upload Office of Attorney General: Tobacco Products License * Drag & Drop Files, Choose Files to Upload Vendors License * Drag & Drop Files, Choose Files to Upload Tax Commission Sales Tax Permit * Drag & Drop Files, Choose Files to Upload Tax Commission Wholesale Tobacco License * Drag & Drop Files, Choose Files to Upload Oregon OR Local Tobacco Products Retail License * Drag & Drop Files, Choose Files to Upload Sales Tax License * Drag & Drop Files, Choose Files to Upload Tobacco Products License * Drag & Drop Files, Choose Files to Upload Department of Revenue Permit To Make Retail Sales * Drag & Drop Files, Choose Files to Upload Local Tobacco Retail License (upload if required by your county and/or city) * Drag & Drop Files, Choose Files to Upload Department of Revenue Retail License * Drag & Drop Files, Choose Files to Upload Department of Revenue License to Sell, Purchase and Distribute Manufactured Tobacco * Drag & Drop Files, Choose Files to Upload Sales and Use Tax License Registered to sell Tobacco Products * Drag & Drop Files, Choose Files to Upload Certificate of Registration: Sales and Use * Drag & Drop Files, Choose Files to Upload Texas Sales and Use Tax Resale Certificate (form 01339) * Drag & Drop Files, Choose Files to Upload Tobacco Retailer Permit * Drag & Drop Files, Choose Files to Upload Tax Commission Sales Tax License * Drag & Drop Files, Choose Files to Upload Tax Commission Cigarette / Tobacco License * Drag & Drop Files, Choose Files to Upload Department of Revenue Sales & Use Tax Registration * Drag & Drop Files, Choose Files to Upload Vermont Wholesale Cigarette and Tobacco Dealer License * Drag & Drop Files, Choose Files to Upload Sales Tax Certificate * Drag & Drop Files, Choose Files to Upload Virginia Retail Tobacco License * Drag & Drop Files, Choose Files to Upload Master License - Tax Registration * Drag & Drop Files, Choose Files to Upload Master License - Tobacco Product Retailer * Drag & Drop Files, Choose Files to Upload State Tax Department Business Registration with a Certification for Tobacco * Drag & Drop Files, Choose Files to Upload Sales and Use Seller's Permit * Drag & Drop Files, Choose Files to Upload Local Tobacco License * Drag & Drop Files, Choose Files to Upload Department of Revenue Sales/Use Tax License * Drag & Drop Files, Choose Files to Upload Department of Revenue Cigarette/Tobacco Retailer License * Drag & Drop Files, Choose Files to Upload Sales Tax Permit * Drag & Drop Files, Choose Files to Upload Basic Business License for Cigarette Retail or Wholesale * Drag & Drop Files, Choose Files to Upload Sales Tax License * Drag & Drop Files, Choose Files to Upload Cigarette and Tobacco License * Drag & Drop Files, Choose Files to Upload Please complete the Ohio Sales and Use Tax Exemption Certificate HERE and upload in the following field. Ohio Sales and Use Tax Exemption Certificate * Drag & Drop Files, Choose Files to Upload Submit Application