Advantage Services Registration Form
**
 ***
**

    Tobacco Registration Form

  1.  
  2.  
  3.  
  4.  
  5.  
  6.  
  7.  
  8.  
  9.  
  10.  
  11. Click the image to reload. PHP FormMail Generator at https://phpfmg.sourceforge.net Reload Image
  12.  
     
Note: If we are unable to VERIFY you and your information ie.(address, email, DOB etc.) your registration will not be accepted and your registration will be deleted.
*
Your email address MUST be accurate
**
Some State Restrictions may apply
***

**
 The purpose of this form is for Advantage Services to  Verify that you are of legal age to purchase our tobacco  products as well as to verify the information that you  have provided.

 After completing the form you can place an order, if we  are unable to verify any of the information that you  provided your order will not be Processed or Shipped.

Advantage Services
PO Box 620056 - Charlotte, NC 28262 - 704-970-8905

**