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PACT Act Form

Please provide the following information in order to facilitate the creation and update of your account. Please fill out all boxes completely. Our sales team will contact you if there is any issue with your application.


You will need to fill out a separate PACT Form for each store location you wish to ship to.


Please call (941) 979-9144 between 10AM and 5PM Eastern Time with any questions.



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Make sure to double check all of your entries. Once the information is submitted, you will not be able to edit.
Please be advised of our NEW flat rate shipping starting at $15!
Florida Shipping = $15 / Out of State = $20

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