Business Contact Info

Attach List if there are 2+ Ship To locations


Points of Contact

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Business Info

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Additional Info

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EDI Capabilities

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Financial Information

For prepayment we accept all major credit cards.

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Tax Information

Please submit a "Resale Certificate" for any and all states that product would be shipped. Upon receipt of the certificate(s), your account would be set up accordingly so that no state sales tax will be charged.

Exemptions for other reasons are also permissable, such as non-profit entity or non-resellers.

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