Partners Information Request

Please enter the following Information regarding each Partner. Upon entering the partner information, a confirmation e-mail will be sent regarding your Partnership Reseller's Permit / State Sales Tax Certificate Number confirmation.
Company Information
Company Name*
Contact Phone Number*
0 of 18 max characters
Company Contact Person*
First Last
Company Contact E-Mail*
Enter Email Confirm Email
Partnership / Owner # 1
Referred to as " Partner #1 " throughout this Electronic Document in request for a Resale Permit / State Sales Tax Number
Partnership Owner #1 - Name*
First Last
Partnership Owner #1 - Address*
Street Address City ZIP Code
Partnership Owner #1 - Social Security Number*
0 of 11 max characters
Partnership Owner #1 - Date of Birth*
Month
Day
Year
Partnership / Owner # 2
Referred to as " Partner #2 " throughout this Electronic Document in request for a Resale Permit / State Sales Tax Number
Partnership Owner #2 - Name*
First Last
Partnership Owner #2 - Address*
Street Address City ZIP Code
Partnership Owner #2 - Date of Birth*
Month
Day
Year
Partnership Owner #2 - Social Security Number*
0 of 11 max characters
Signature Confirmation*
- I am the named above, an authorized agent or officer, for the company listed above, and I am confirming the order.
Signature of Authorized Person / Officer*
Electronically signing this form will confirm your order. An e-mail confirmation will be sent upon submission of the form.

Company Information