IR Imaging ResourcesImaging Resources is required under California State law to maintain a proper resale record within the State. Therefore, in order to purchase goods for resale we need your co-operation. Please complete and fax/mail the following form to us.
| __________ | Resale as a tangible personal property |
| __________ | To be incorporated as a material or part of other tangible personal property to be 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 seller's State |
| __________ | Other_______________________________________________________ |
| Dated______________________ | |
This certificate shall be considered a part of each order, which we shall hereinafter place provided such order contains our certificate number. This is to continue in force until revoked in writing.
| SELLER'S PERMIT#_______________ | CERTIFICATE# ___________________ |
| FIRM _____________________________ | ________________________________ |
| ADDRESS__________________________ | ________________________________ |
| STATE _____________ | ZIP ______________ |
| TELEPHONE_________________ | FAX____________________ |
| SIGNATURE______________________ | TITLE__________________________ |