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Licensed Retailer Certification

By submitting this application, you certify that you represent a licensed retailer. Every application is reviewed to ensure compliance with state and federal laws.

Only licensed resellers are permitted to purchase from Get Glass Distribution.

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You must accept to proceed with the application

Personal Information

First Name *

First name is required

Last Name *

Last name is required

Email Address *

We'll use this to send you a link to log in. Make sure it's correct!

Valid email is required

Password *

Password must be at least 8 characters

Phone Number *

By providing your phone number, you agree to receive updates, promotions, and offers via text, calls, or other electronic means from Get Glass Distribution. You can opt-out at any time. Standard rates may apply.

Phone number is required

Gender

Male Female Other

Your Position

Store Owner Manager Employee Other

Business Information

Legal Business Name *

The legal name registered with the state. If sole proprietor, the store name is fine.

Legal business name is required

Store / DBA Name *

Store name is required

Federal Tax ID (EIN) *

Nine digits, format: XX-XXXXXXX. If you are a sole proprietor and prefer not to enter your SSN here, please contact us directly.

Federal Tax ID is required

Business Email *

Valid business email is required

Store Phone Number

Business Address

We do not ship to residential addresses. Please provide your business address.

Street Address *

Street address is required

Address Line 2

City *

City is required

Zip Code *

Zip code is required

State *

State is required

Country *

Warehouse Preference

Select which warehouse you'd like to be served from.

California Warehouse Arizona Warehouse

Please select a warehouse

Billing Address (if different from business address)

Documents & Verification

Sales Tax License / Reseller's Permit *

Due to USPS PACT Act regulations, we require a current Sales Tax License, Reseller's Permit, or Business License. We will also ask for your Federal EIN document below.

Choose file or drag here

PNG, JPG, or PDF — Max 10 MB

Sales Tax License / Reseller's Permit is required

Federal EIN Document

Please attach a copy of your Federal EIN document (typically provided by the IRS). If you don't have it available right now, you can skip this — we'll reach out to obtain a copy during the review process. We will not be able to approve an account without it.

Choose file or drag here

PNG, JPG, or PDF — Max 10 MB

Tobacco / Vapor Product License (if applicable)

Some states require specific Tobacco or Vapor product licenses. If your state requires one, please upload it here. If not, feel free to skip — we'll follow up during review if needed.

Choose file or drag here

PNG, JPG, or PDF — Max 10 MB

Seller's Permit Number

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Licensed Retailer Certification

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Wholesale Account Application

Licensed Retailer Certification

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