EmailMeForm
Organization Name:
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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
Copy Of CT Tax Form 1 & 23
(Required for businesses)
Add File
Please download, fill out, and submit the following form:
https://portal.ct.gov/-/media/drs/forms/1995forms/resale-certificate.pdf
ORDERING DEPARTMENT:
Ordering Contact Name:
*
Ordering Email Address:
*
* THIS IS WHERE INSTRUCTIONS FOR ORDERING TAX-FREE WILL BE SENT! *
Ordering Phone Number:
*
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BILLING DEPARTMENT:
Billing Contact Name:
(Optional)
Billing Email Address:
(Optional)
Billing Phone Number:
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(Optional)
FORM CERTIFICATION:
This Form Filled Out By:
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First
Last
Your Position At Organization:
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*
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