URB Wholesale | Wholesale Registration

Want to do wholesale work with Urb? Are you interested in featuring Urb’s products in your retail shop or distribution chain?
If so, fill out our registration form below.

Name *

First

Last

Email *

Company Name *

EIN *

Phone Number *

Address *

Address Line 1

Address Line 2

City *

City

Postcode/Zip *

Zip Code

State *

State

Prior Companies

Where did you purchase product prior?

How did you hear about us? *

Upload Business License & Tax Exemption Certification

Click or drag a file to this area to upload.

Upload Tobacco License

Click or drag a file to this area to upload.

Phone