Hemp Luxe – Customer Signup

Submission for new Hemp Luxe Customer

Hemp Luxe 3885 W Market St Akron, OH 44333 (330) 666-7333 hlxacct@mustardseedmarket.com
Name of Business*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Ohio Sales Tax (please check one)*
- Exempt (Resale or Exemption Certificate attached)
- Not Exempt
Upload Tax Exempt Certificate
Max. file size: 32 MB.
Credit Card Processing
- I authorize Mustard Seed Market ( HempLuxe) to charge my credit card on file at the time of invoicing.
E-Sgnature & Consent*
I authorize Mustard Seed Market (Hemp Luxe) to create a new account