Customer Setup Form - Relax and CBD

Company Full Legal Name *

Company Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Product Shipping Address (If Different)

Accounts Payable Contact *

First

Last

Accounts Payable Phone Number *

Accounts Payable Email *

Is a Purchase Order Number (PO#) Required to Order *

Is Your Business Resale Tax Exempt? *

If Yes, Please Attach Your Resale Tax Exemption Certificate Below

File Upload

Click or drag a file to this area to upload.

Additional Information