EmailMeForm
Organization Name:
*
Type Of Organization:
*
Please select
501(3)(c) Exempt Organization
Business Purchasing For Resale
Note: Businesses purchasing for resale are tax exempt. Those purchasing for in-house use are not exempt.
Copy Of State Sales Tax ID or 501(3)c Certificate:
*
Add File
ORDERING DEPARTMENT:
Ordering Contact Name:
*
Ordering Email Address:
*
* THIS IS WHERE INSTRUCTIONS FOR ORDERING TAX-FREE WILL BE SENT! *
Ordering Phone Number:
*
###
-
###
-
####
BILLING DEPARTMENT:
Billing Contact Name:
(Optional)
Billing Email Address:
(Optional)
Billing Phone Number:
###
-
###
-
####
(Optional)
FORM CERTIFICATION:
This Form Filled Out By:
*
First
Last
Your Position At Organization:
*
*
I certify that I am an authorized representative of this organization
I certify that the above org. is legally entitled to make tax free purchases (Either reseller or non-profit)
By signing below, you certify that the above form was completed accurately:
*
Clear