MUNICIPAL / TAX-EXEMPT ACCOUNT APPLICATION This account application is for our tax-exempt customers. You may use this account to establish credit and Internet ordering privileges. Login name(s) and password(s) will be e-mailed to the responsible party. |
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Purchasing Business Information | ||
Legal Name |
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Street Address1 |
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Street Address2 |
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City |
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State |
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Zip Code |
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County |
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Shipping Address | ||
Airport Name |
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Attention/Department |
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Street1 |
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Street2 |
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City |
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State |
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Zip Code |
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Telephone |
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Responsible Party |
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Name |
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Title with Purchasing Business |
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E-Mail Address |
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Telephone Number |
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Facsimile Number |
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Authorized Buyer | ||
Name |
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E-Mail Address |
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Telephone Number |
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Facsimile Number |
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Authorized Buyer | ||
Name |
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E-Mail Address |
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Telephone Number |
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Facsimile Number |
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As responsible party for the Purchasing Business, I authorize
the above listed Buyers to make purchases for our organization. As responsible
party, I understand that I must give blueglobes, incorporated sufficient
advanced notice when a listed Buyer is no longer authorized to make purchases
on our organization's behalf. Sufficient notice will be 2 business days
advanced notice. As responsible party, I acknowledge blueglobes, incorporated's
terms and conditions of sale and payment terms of Net 30 Days. |
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Responsible Party |
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Signature
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Name |
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Title with Purchasing business |
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Date
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Please enclose your Certificate of Exemption for Sales and Use Tax. Please fax your signed application with Certificate to (866) 445-6237. |