Wholesale Form

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Account Information

Billing Address

Billing Address is

Commercial
Residential

Shipping Address

If shipping address same as billing address, enter "SAME" for Shipping Address 1 below.

Shipping Address is

Commercial
Residential

Business Information

Date Business First Opened

Blanket Certificate of Resale

Furnished under the State of Sales & Use Tax Acts

This is to certify that all purchases by the undersigned from CK Products are tax exempt and will be purchased for the following purpose

For sale as a tangible personal property in the same form as received
To be incorporated as a material, ingredient or component of a new product produced for sale by manufacturing, assembling, processing or refining
To be exported for sale, use or consumption outside the continental limits of the United States
To be sold outside seller's state

This certificate shall be considered part of each order we shall hereinafter place and shall be applicable to any property purchased by the undersigned unless otherwise specified, and shall remain in force until revoked in writing.

List all Owners, Partners, or Principal Officers

Person 1

Person 2

Person 3

Person 4

By submitting this form, I certify that this information is true and correct to the best my knowledge.

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