The Wholesale Reseller understands and agrees that if it uses any property purchased tax exempt in any manner which would not exempt the sale from sales tax, the Wholesale Reseller becomes the user or consumer of such property, and as such assumes liability for the sales tax and interest and penalty therein, if any.

 

The fields marked with * are mandatory.

First name:*
Last name:*
Email address:*
Phone:*
Fax:*
Web site:*
Address:*
Address 2:
City:*
State/Prov:
Country:*
Zip/Postal Code:*
Company name:*
Govt. Locality:*
{Issuing Business License (Country, State, Prov. or City)}
License Number:*
{Locality-issued Vendor License Number}
Tax ID Number:
{Federal Tax ID Number (US)}
Business Type:*
Exemption Type:*
{Seeking exemption from sales & use tax because}
I Certify:*
{YOU CERTIFY THAT YOU HOLD THE SALES TAX LICENSE OR PERMIT NUMBER(S) INDICATED ABOVE, AND THAT ALL INFORMATION CONTAINED HEREIN IS ACCURATE AND CORRECT}
Security code:*

 

Please note: Once submitted, your application for a Wholesale Reseller account will be placed on hold pending review by Patsy Thompson Designs, Ltd. In addition to this online membership sign-up form, Wholesale Reseller approval requires that a photocopy of your vendor's license be on file for our records - this may be faxed to us in the US at 419-868-7426 or sent via snail mail to Patsy Thompson Designs, Ltd., 607 Scenic Circle Drive, Holland, OH 43528, USA. Upon approval, your store login will be adjusted to allow visibility to our wholesaler incentives.