Title / Role 

Business Owner

Employee

Member

Company Name *

Type of Business / Organization 

Wholesale Store

Retail Store

Event Venue / Planner / Decorator

Restaurant / Bakery

Religious Institution

Other or N/A

Street Address *

Address Line 2 

Town / City *

Country and State *

United States (US)

Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)

Postcode / ZIP *

Phone Number *

Resale Tax Certificate *
Supported file types: jpg, jpeg, png, txt, pdf, doc, docx

Purpose of Purchase *

Resale (intend to resell any purchased products)

Rental (intend to rent out any purchased products)

Use (intend to use any purchased products)