Interested in becoming an authorized retailer for any of the Baker White lines?

Please fill out the following form and a customer service representative will contact you to complete the process.

Become a Retailer - NOT FOR CONSUMERS

Company Information

Company Name*
DBA

Doing Business As (if applicable)
Federal Tax ID Number*
Owner/ Partner Name(s)*
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Person

Primary Contact*
First Last
Phone*
Email*
Secondary Contact
First Last
Phone
Email

Additional Details

I'm interested in selling these Baker White brands*
- BW White
- Tobacco 5
Check all that apply
- Send me login credentials!
CAPTCHA*