Reseller Permit Application Form

Reseller Permit Application Form
Apply for a reseller permit to purchase goods for resale. Please complete all required fields and upload supporting documents.
Business Name
Applicant's Full Name
First NameLast Name
Business Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Type
State of Operation
Federal Tax Identification Number (EIN or Tax ID)
Describe the nature of your business and the products/services you intend to resell
Upload your current business license or registration certificate
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Upload any additional supporting documentation (optional)
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Applicant's Signature
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