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The Business is a:
No. of years in business*
Primary Contact Name*
Primary Contact Email*
Estimated monthly purchases*
Purchase Order required
Desired payment terms*
**Sales Tax Exemption Certificate attached
**If the Tax Exemption or Resale Certificate is not provided, tax will be charged at time of invoicing.
In making this application, we understand that all accounts, unless otherwise arranged, are payable under the terms stipulated on each invoice, and if not paid on or before due date, are then delinquent.