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ReignbowTracer Novelties - Wholesale
Application / Order Form
Thank you for submitting your information / Order!
| Name: | Date: | |
| Name of Business: | ||
| Address: | ||
| City: | State: | Zip: |
| Email: | Phone: | |
Tax Resale /
Business License Number:
| Ship To Address: IF DIFFERENT FROM ADDRESS ABOVE (STREET, CITY, STATE, ZIP) |
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Item Number
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Quantity
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Description
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Amount
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Sub Total |
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Tax (FL residents add 7.5%) (CA add 8.25%) |
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| Shipping/Handling | |||
| Total | |||
*If
paying via PayPal, Check or Money Order, please skip the following credit card
information*
Card Type
Card #
Exp Date Ver Code
Name on Card (if different from above)
Preferred Payment Method:
PayPal / Mail Order - check/money order.
All
credit/debit
card transactions are processed via PayPal.
*All
sales to Florida addresses enclose a copy of your Florida Annual Resale
Certificate,
and signature below:
*Signature
Please Print and
Mail to:
RTN, 1891-3 Capital Cir NEive, pmb #136, Tallahassee, FL 32308
For any questions, please feel free to contact: webmaster@reigninggifts.com