WHOLESALE

If you are a retail store or website interested in carrying Vintage E-Liquids, please complete the Wholesale Inquiry form below.

Please complete the application and upload a current state business license and federal tax ID number (or proof of ownership).

Fields marked * are required.
Business Presence:
Company Name:
Website or Facebook URL:
Federal Tax ID (EIN):
First Name:
Last Name:
E-mail Address:
Phone Number:
Country:
Street Address:
Address Line 2:
City:
State:
Zip:
Type of Delivery:
Comments:
Reseller Permit:
How Did You Hear About Us?






If Other, please specify: