To Our Customers:

In compliance with Sales and Use Tax Laws, it is necessary that we have from all our customers a
signed re-sale certificate, with their State Sales Tax Permit Number, to show that the merchandise
has been purchased for re-sale. The good faith of the seller will be questioned if he has knowledge
of facts which give rise to a reasonable inference that the purchaser does not intend to resell the
property as, for example, knowledge that a purchaser of particular merchandise is not engaged in
the business of selling that kind of merchandise. Under "Description of property to be purchased"
there may appear:

1. Either an itemized list of the particular property to be purchased for resale, or

2. A general description of the kind of property to be purchased for resale. Such certificate is    
good until revoked in writing.

Please print out the following form, insert your New Sales Tax Permit Number, with your signature
and fax or email to:


Attn: Credit Department
855-244-4553 ext. 8


Firm Name :________________________________________________________

I HEREBY CERTIFY, That I hold valid seller's permit
No.________________________________________issued pursuant to the Sales and Use Tax
Law; that I am engaged in the business of selling

____________________________________________________that the tangible personal
property described herein which I shall purchase from:

__________________________________________________________will be resold by me in the
form of tangible personal property. PROVIDED, however, that in the event any of such property is
used for any purpose other than retention, demonstration, or display while holding it for sale in the
regular course of business, it is understood that I am required by the Sales and Use Tax Law to
repoort and pay for the tax, measured by the purchase price of such property. Description of
property to be purchased:

Dated: ________________ Signature _____________________________________

By and Title _______________________________ Phone ____________________ Address