KRETEK
Canada
REGISTER
LOG IN
ACCESSORIES
CIGARS
CIGARETTES & RYO
OTHER TOBACCO
Customer Registration
*
Required Fields
Contact Information
Business Operating as Name:
*
Business Name Required
Manager First Name:
*
First Name Required
Manager Last Name:
*
Last Name Required
Title/Position:
*
Title Required
Phone:
*
Phone Required
Invalid Phone
Cell:
Invalid Cell
Fax:
Invalid Fax
Email:
*
Email Required
Invalid Email
Mailing to for promotions and special deals:
*
Billing Information
Address 1:
*
Address 1 Required
Address 2:
City:
*
City Required
Province:
*
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Province Required
Zip:
*
Zip Required
Shipping Information
Copy Billing Information
Address 1:
*
Address 1 Required
Address 2:
City:
*
City Required
Province:
*
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Province Required
Zip:
*
Zip Required
Business Information
Type of Business:
*
Corporation
Partnership
Sole Proprietorship
LLC
Legal Business Name:
*
Legal Business Name Required
Name of Legal Business Owner:
*
Business Owner Name Required
Provincial Tobacco Permit No (where applicable):
*
Tobacco Retail License # Required
Tobacco permit Expiration Date:
*
Expiration Date Required
Federal Business (GST/HST) No:
*
Federal Tax ID # Required
Year and Month of Start of Business:
*
How Long in Business Required
Questions/Comments
***DO NOT ENTER CREDIT CARD INFORMATION***
Kretek International does not offer the sale of tobacco products to persons under the legal smoking age nor do we offer product to non-licensed individuals. By submitting this form you certify that you are 21 years of age or older and are a licensed retailer.
ABOUT US
CONTACT US
VENDOR INFO
SITE MAP
®
2024
Kretek International, Inc. All Rights Reserved
Privacy Policy