Wholesale

Dietrich Gardens > Wholesale

Issued to Seller

Dietrich Gardens
The Garden

Address
1818 Highland Avenue, Cheshire, CT 06410

155 Main Street North, Woodbury, CT 06798

I certify that:
Name of Business*
Your Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Cell Phone
Email*
Is engaged as a registered*
- Wholesaler
- Retailer
- Manufacturer
- Lessor
and is registered with the below listed states and cities within which your firm would deliver purchases to us and that any such purchases are for wholesale, resale, ingredients or components of a new product to be resold, lease, or rented in the normal course of our business.
*
City or State State Registration or I.D. No.
We are in the business of wholesaling, retailing, manufacturing, leasing (renting) the following:*
I further certify that if any property so purchased tax free is used or consumed by the firm as to make it subject to sales or use tax we will pay the tax due direct to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall be a part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until cancelled by us in writing or revoked by the city or state.
General description of products to be purchased from the seller:*
Location*
Which store(s) are you interested in purchasing from?
- Dietrich Gardens - Cheshire
- The Garden - Woodbury
- I Love Both Locations
I declare under the penalties of false state that this certificate has been examined by me and to the best of my knowledge and belief is a true, correct and complete certificate.
Signature*
Use your mouse or finger to sign
Title*
Date*
File Upload*
Please upload a copy of your Sales & Use Resale Certificate
Accepted file types: jpg, pdf, Max. file size: 300 MB.
Are you human?

City or State	State Registration or I.D. No.