Naugahyde - Account Profile

Please provide a little information about yourself to help us create your new designer account.

First Name*

Last Name*

Company*

Primary Market

Phone Number*

Address*

City*

State/Province*

Country*

ZIP/Postal Code*

I wish to apply as a tax exempt purchaser

This is to certify that all materials, merchandise or goods purchased by the undersigned will be used for:

Resale as tangible personal property

To be incorporated as a material or part of other tangible personal property to be 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.

Sales Tax Exemption Certificate No.

I certify that the above statements are true, complete, and correct, and that no material information has been omitted. I make these statements and issue this exemption certificate number with the knowledge that this certificate number provides evidence that state and local sales or use taxes do not apply to a transaction or transactions for which I tendered this certificate number and that willfully providing this certificate number with the intent to evade any such tax may constitute a felony or other crime. I also understand that my state's tax department is authorized to investigate the validity of tax exclusions or exemptions claimed and the accuracy of any information entered on this document.

E-Mail Address*

Confirm E-Mail Address*

Password*

Confirm Password*

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