New Customer Registration

Do you hold a valid seller's permit or business license?

Business Name

Business License #

Sellers Permit #

What services does your business offer?

Description of property to be purchased for resale:

This certificate is for the purchase from Flora Fresh Inc of the items(s) I have listed above. I will resell the items listed above which I am purchasing under the resale certificate in the form of tangible personal property in the regular course of my business operations, and will do so prior to making any use of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course of my business. I understand that if I use the item(s) purchased under this certificate in any manner other than as just described, I will owe use tax based on the item's purchase price or as otherwise provided by law. ONLY CHECK BOX IF YOU WILL NOT BE RESELLING, OTHERWISE LEAVE BLANK.

Name

Address

City, State, Zip

Phone

Cell

Do you consent to receiving informational and promotional emails and sms messages?

List Other Buyers

How did you hear about us?

Upload your business license or seller's permit here