Central Vapors Age Verification 2.0

1

Terms and Conditions* This field is required.Please read and review

2

Signature

3

SMS Confirmationreceive a text or call to validate your phone number

4

Address Validation

Street Address

Street Address 2

City

State / Province

Postal / Zip Code

Country

5

ID Verification* This field is required.The name on your order must match your ID

Email

First Name

Last Name

Date of Birth eg. mm/dd/yyyy

6

Upload Driver's License or Identification Card* This field is required.Government regulations require us to verify your identity. Acceptable ID Documents state-issued IDs such as a Driver's License or Identification Card.

7

Upload Selfie Image* This field is required.- Provide a selfie picture with your ID held next to your face

8

summary