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.
Purchasing Business Information
   
Legal Name
 
Street Address1
 
Street Address2
 
City
 
State
 
Zip Code
 
County
 
   
Shipping Address  
   
Airport Name
 
Attention/Department
 
Street1
 
Street2
 
City
 
State
 
Zip Code
 
Telephone
 

 
Responsible Party
Name
 
Title with Purchasing Business
 
E-Mail Address
 
Telephone Number
 
Facsimile Number
 
   
Authorized Buyer  
   
Name
 
E-Mail Address
 
Telephone Number
 
Facsimile Number
 
   
Authorized Buyer  
 
Name
 
E-Mail Address
 
Telephone Number
 
Facsimile Number
 

 
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.

Responsible Party


  
Signature
   
Name
 
Title with
Purchasing business
 
   
 
Date
   


Please enclose your Certificate of Exemption for Sales and Use Tax.

Please fax your signed application with Certificate to (866) 445-6237.