Wholesale Registration Form - The Jonathan Green Collection

Wholesale Registration Form
Jonathan Green Collection
Div. Nine Yards Int’l, LLC
295 Seven Farms Drive C237
Daniel Island, SC 29492
[email protected]
Phone 843-779-5534
All fields are required. Incomplete registration forms will not be processed. Please ensure that your
email address is entered correctly. We will provide your User Name and Password via email. After
completing this form you may send it to us by email using the button at the top of this page or you may
print this form and fax it to us at 843-278-9253. If you have any questions, please call us at 843-7795534. Please allow 2 business days for us to process this request.
Customer First Name_________________Customer Last Name______________________________
Business Name __________________________________Phone____________________________
Business Website_________________________________Fax______________________________
Address 1___________________________________Address 2_____________________________
Email _______________________________Verify email_________________________________
How did you hear about us? __Online Search __Magazine __Friend__Business Associate
__Other (specify)
Business Description
__ Retailer __Art Gallery __Event Planner __Other (please specify)____
Jonathan Green Collection sells to registered businesses only. S. Carolina businesses must fax a copy
of form ST-8A. Businesses from all other states must provide ID numbers from ONE of the following
proof of business documents to complete your registration.
State Sales Tax No. ________________
Federal Tax No.___________________
Other Business License # ________________________________________________
For “Other Business License” including issuing Agency Name, Date of Issue, and Identification #
Signature (typed acceptable if submitting online)________________________________________
I the above signed certify that I hold the valid Vendors Registration named above and that I am in the
business of selling the kinds of tangible personal property being purchased from Jonathan Green
Collection under this Vendors Registration and that I intend to sell such property in the regular course
of my business.