Punk Hous

New Client Setup Form

We are excited to start working together. We wanted to get the admin out of the way so we can start sending mockups, pricing, and invoices for your orders. To learn more about Punk Hous, visit www.punkhous.com.

Company name *

Your company legal name.

Please enter your company legal name.

Company DBA *

The name you want us to reference your company by, if different from your legal business name.

Please enter a DBA (or repeat your legal name).

Business website (optional)

Helps us learn about your brand and set up your account faster.

Company billing address

ATTN (optional)

Street address *

Please enter the street address.

Suite / Unit # (optional)

City *

Please enter the city.

State *

Required.

ZIP *

Enter a 5-digit ZIP.

Shipping address

Same as billing address

ATTN (optional)

Street address

Please complete the shipping address.

Suite / Unit # (optional)

City

Required.

State

Required.

ZIP

Enter a 5-digit ZIP.

Primary contact

Primary contact first & last name *

Please enter the primary contact's full name.

Primary contact title (optional)

Primary contact email *

Please enter a valid email address.

Primary contact phone *

Enter a valid phone number.

Billing contact

Same as primary contact

Billing contact name (optional)

Billing contact title (optional)

Billing contact email (optional)

Please enter a valid email address.

Billing contact phone (optional)

Preferred payment method (optional)

Are you located in California or shipping to California? *

If yes and you are buying for resale or wholesale, we will need your resale certificate attached. Otherwise we will have to charge sales tax for any goods. Services provided by Punk Hous are not subject to sales tax.

Yes No

Please choose one.

Are you buying for resale or wholesale? *

Yes, for resale No

Please choose one.

Resale certificate (for tax-exempt setup)

Upload your current resale certificate so we can set you up as a tax-exempt organization.

No file chosen

Each file up to 20 MB.

One of those files is over 20 MB. Please upload smaller files.

Are you a California licensed cannabis company? *

Yes No

Please choose one.

California cannabis license number *

Please enter your license number.

License documents (you can send later)

Upload copies of your valid California cannabis license documents. You can attach more than one file for each license you hold. Required for licensed cannabis companies under §15041.1.

No file chosen

Each file up to 20 MB.

One of those files is over 20 MB. Please upload smaller files.

Once you are in our accounting system, we will send you an email with our banking information and our W-9. For further questions, contact us via email at info@punkhous.com or by calling our office at 619-780-7865.

Required fields are marked with * Never share sensitive information (credit card numbers, social security numbers, passwords) through this form.

✓

You're all set

Thank you for providing your company information. Once we have you set up in our system, we will send you an email with our banking information and our W-9.

For any further questions, you can contact us via email at info@punkhous.com or by calling our office at 619-780-7865.

That didn't go through

Something went wrong sending your details. Please try again, or contact us via email at info@punkhous.com or by calling our office at 619-780-7865.