Online Account Application

ACCOUNT INFORMATION

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 sellers 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.
*PERMIT NUMBER:
*FID NUMBER:

List all Owners, Partners or Principal Officers

*Name:

*Home Country:

*Home Address:

*City:

*State:

*Zip:

*Home Telephone:

Cell Phone Number:

Name:

Home Country:

Home Address:

City:

State:

Zip:

Home Telephone:

Cell Phone Number:

Name:

Home Country:

Home Address:

City:

State:

Zip:

Home Telephone:

Cell Phone Number:

Name:

Home Country:

Home Address:

City:

State:

Zip:

Home Telephone:

Cell Phone Number:

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

*NAME & TITLE OF PERSON COMPLETING FORM: