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PRAIRIE BAND POTAWATOMI NATION

Tribal Tobacco Distributor/Wholesaler or Retail Business License ACH Payment

Tribal Tobacco Distributors/Wholesalers or Retailers must file a Business License Application and Tribal Tobacco Distributor/Wholesaler or Retailer Application

For questions about your account contact 785-966-3998

Download Application Here

Return completed application to [email protected] or by mail.

  • Business Details

    *This information is required
  • Billing Details

    *This information is required
  • *Non-Refundable Application Fee of $100.00 must be submitted with application.
  • Price:
  • AUTHORIZATION
    By checking the "I accept the Terms and Conditions" checkbox below I authorize my bank to debit my specified account for the amount of my payment. This is a one-time payment which will occur on the next business day or as soon as practical thereafter. If my payment cannot be completed for any reason, including insufficient funds or error in the information which I submitted, I will retain the same liability, which is my sole responsibility, for payment as though I had not attempted to make the payment. I also understand that additional fees and penalties may be collected to the extent of applicable law.

    RECEIPT
    A receipt can be printed after payment is accepted which may serve as evidence of payment. If an email address is provided during the payment process, a receipt will be emailed to you after the payment is processed.

    CONTACT
    If for any reason you wish to make a change to the payment after submission, please contact Prairie Band Potawatomi Nation for assistance at 877.715.6789

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