Please complete all information as accurately as possible.


Billing & Shipping Information

Business Hours

Main Contact Information

Business Licenses

Please upload any of these documents to verify your Business Licenses :

Federal Tax ID Number, Resale Permit Number, Tobacco Permit License

Types of Business
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Business Category


I hereby certify that the information contained herein is complete and accurate. Furthermore, I understand that the terms of delivery are cash on delivery, meaning I must pay for my order in cash upfront to receive the ordered goods. Payment is to be provided to Downey Wholesale, Inc., driver at time of delivery. Checks are not a valid form of payment. I understand that this is not a credit application and I am in not being extended credit by Downey Wholesale, Inc. I understand that delivery times are estimates and not guarantees that may be subject to external factors. I understand that my application is considered incomplete if I do not complete and submit the attached CA Resale Certificate at time of application and submit an image of a valid CA Seller’s Permit.