1.- 

Business Name?*

2.- 

Business Address?* (Street Address, City, State, Country)

3.- 

Business phone?

4.- 

How do you resale the products?* (Plasee select all that apply)

5.- 

Do you perform installations at your location?*

6.- 

Do you have more than One location?*

7.- 

Do you allow Sulastic to publish your business information and logo as an Authorized Reseller @ www.sulastic.com/en/sulasticgolddealers *

8.- 

If yes on the previous question, please let us know your business hours of operation and best contact person to ask for the sulastic products.

9.- 

Please download, fill and sign the pdf included on the following link  Uniform-Sales&Use Resale Certificate- Multijurisdiction,  then attach the signed  document.*

The Multistate Resale certificate is valid for the following states (AL, AR, AZ, CA, CO, CT, FL, GA, HI, ID, IL, IA, KS, KY, ME, MD, MI, MN, MO, NE NV,NJ, NM, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VT, WA, WI)
For more information about this form  https://www.mtc.gov/

For states not listed above please attach the multijurisdiction resale certificate and  if apply include your state resaler certificate on the following numeral.

For International Retailers please attach a copy of your business license or equivalent of your country.

10.- 

Attach the Reseller certificate for the state not listed above and required by your state.

11.- 

Your name*

12.- 

Your phone * (If apply, Please Include extension)

13.- 

Your email*