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All Categories
Accessories (3)
Art Deco Series (3)
Custom Made (4)
Dealer Offer (1)
Glass Top Series (3)
Natural Wood Series (2)
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Dealer Application
Filled form for Humboldt Dealer
Dealer Name, dba
Legal Entity
Number of locations, if greater then 1 attach list
Address
City
State
Zip
Location Phone
Owner/s
Decision Maker
Title
Decision Maker Mobile
Decision Maker Email
Preferred method of payment
Must Attached:
1. State substance permit (WHEN APPLICABLE)
2. State sales tax certificate
3. Local business license
4. Above names must match up
All pricing will be MAP, Dealer can sell unit for less than MSRP, but cannot advertise pricing less than MSRP. Humboldt Humidors reserve the right to cancel Dealership rights at anytime for any reason without advance notice. Humboldt Humidors will refund and product in full that is returned in new condition within 7 days of notice of termination.
Name
Signature
Date
SUBMIT
