Username * User Password * Confirm Password * Phone ext. User Email * First Name Last Name Accounts Payable Contact Accounts Payable Phone ext. Accounts Payable Email Company Name * Geographic Region Anchorage/MatsuFairbanks/InteriorKenaiJuneau/SoutheastRemote/Other Business Type * StorefrontCultivationManufacturingTestingRetailMultiple If Multiple State of Alaska Business License Number * EIN Number * AMCO Number * Submit
