Onboarding - Plymouth Armor Group

Contact Information

Business Name(Required)

DBA Name(Required)

Business Phone(Required)

Primary Contact Name(Required)

First Last

Primary Contact Email(Required)

Primary Contact Mobile(Required)

Accounts Receivable Email for Invoices(Required)

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Business Hours of Operations(Required)

How Did You Hear About PAG?(Required)

Do you have additional pick-up/drop-off sites?

Yes

Additional pick-up/drop-off site 1

Business Name(Required)

Business Phone(Required)

Mobile Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Do you have additional pick-up/drop-off sites?

Yes

Additional pick-up/drop-off site 2

Business Name(Required)

Business Phone(Required)

Mobile Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Operations Contacts

Dispensary Manager Name(Required)

First Last

Dispensary Phone Number(Required)

Manager Mobile Number(Required)

Email(Required)

Address (if different)

Street Address Address Line 2 City State ZIP Code

Notes(Required)

Please include days/times manager will be on duty and any other additional info

Do you have additional contacts you'd like to include?

Yes

Additional Operations Contact

Dispensary Manager Name(Required)

First Last

Dispensary Phone Number(Required)

Manager Mobile Number(Required)

Email(Required)

Address (if different)

Street Address Address Line 2 City State ZIP Code

Notes(Required)

Please include days/times manager will be on duty and any other additional info