Dealer/Distributor Inquiry
Company Name
Taxpayer ID No:*
Sales Tax Exemption Certificate No:
Business Description:
Catalog/Internet
Sales:
Yes
No
Wholesaler:
Yes
No
Years in Business:
Form of Business:
Proprietorship
Partnership
Corporation
Class Of Trade:
Dealer
Chain
Distributor
Trade References: Submit at least 3 references.*
Also place inquiries/questions here.
Post Office Box 20875, Sarasota, Florida 34276-3875
