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Food Store (Who carries some cigarettes)

1)Business Name
2)Corporation Name
3)EIN Number
4)Drivers License Is Mandatory! (Required)
5)Business Owner Contact details
6)Store Employee Contact details

C-store and Liquor Store

1) Business Name
2)Corporation Name
3)EIN Number
4)CT.3 (Cigarette License)
5)CT.3T (Cigar License)
6)ENDS – (Vape License)
7)Drivers License Is Mandatory! (Required)
8)Business Owner Contact details
9)Store Employee Contact details

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