NEW CUSTOMER APPLICATION - 7GD

Please complete the following info and submit.

Any Questions, 702-777-0008 or email tsharp@7globaldistribution.com

Name of Purchaser *
DBA
Address of Purchaser Address of Purchaser *
Street Address
Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Fax Fax - ### - ### ####
Email *
I hereby certify:
That I hold a valid sellers permit, No. issued by the State of Use tax: *

That I hold a valid sellers permit, No. issued by the State of Use tax: YES
sellers permit, No.
Issued by the State:
That I am engaged in the business of selling...
That the tangible personal property described herein which I shall purchase from Ideal Tobacco
Wholesale, Inc., will be resold by me in the form of tangible retail property, provided, however, that in the event any such property is used for any purpose other than for sale in the regular course of business, it is understood that I am required by the Sales & Use Tax Law to report and pay tax, measured by the purchase price of such property or other authorized amount.
Description of Property to be purchased
I acknowledge that the misuse of the resale privilege claimed by use of this certificate subject to the purchaser penalty, in addition to the tax, interest and any other fines imposed by law
State
State
(Dropdown Example)
OTP/Tobacco Lic #
Please attach and provide a copy of your OTP license

Attach Files
Date
(Auto Filled) Date
(Auto Filled) / MM / DD YYYY
Print Name and Title
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

NEW CUSTOMER APPLICATION - 7GD

NEW CUSTOMER APPLICATION - 7GD

I hereby certify:

I acknowledge that the misuse of the resale privilege claimed by use of this certificate subject to the purchaser penalty, in addition to the tax, interest and any other fines imposed by law