Wholesale & Vendor Inquiries

Vendor Application Form

"*" indicates required fields

Name*

*First Name *Last Name

Business Name*

Address*

Address Line 2

City*

State / Province*

Zip

Country*

Business Phone*

Mobile Number 1

Mobile Number 2

Email*

Vendor Information

You may select more than one option, if applicable.

Type of Business:

Physical Store (Brick & Mortar)

Online Store

You may select more than one option, if applicable.

Seller's Permit Number:

Please provide either your Seller's Permit, Tax ID Number, or Business/Tobacco License Number.

Web/Social Presence:

Do you have any of the following? (check all that apply)

Website

Facebook

Twitter

Google

None

Website*

Facebook*

Twitter*

Google*

Instructions

Wholesale orders don't qualify for rewards points, coupons, or free shipping. These are offered to retail customers only (B2C Customers Only)

Regarding Samples:
Due to the overwhelming number of requests for samples, we don't offer any at this time. However, we believe there is a considerable amount of positive reviews, on our website and elsewhere, that will help you in choosing which products/blends will be most suitable for your store. Here is a link to a few reviews on Black Note. We think you will find them informative: https://www.blacknote.com/reviews-and-testimonials/.

International Vendors:
Wire transfer is the ONLY acceptable method of payment for international order.

Complete Your Inquiry

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Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 8.

Notes

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Black NoteNatural Tobacco E-Liquid

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Wholesale & Vendor Inquiries

Vendor Application Form

Vendor Information

Instructions

Complete Your Inquiry

AGE VERIFICATION