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Company Name or Organization: __________________________________________________
I hereby certify that I hold a valid BC Certificate of Registration# _________________________
In order for us to reference your account, please provide one or both of the following:
Sales order number (SO#):________________
The tangible personal property will be used for wholesale, resale, or as an ingredient or component part(s) of a new product to be resold, leased, or rented in the normal course of my business.
Do you wish to be tax exempt for all future orders?
No, I only want to be exempt for SO#___________
Description of property to be purchased:
Other, please specify _______________________
Print Your Name: _______________________________________
Phone number: __________________________________________
Fax to: (626) 271 ��C 9403 Email to: firstname.lastname@example.org