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Resellers

Do you have a retail location and are interested in carrying Layrite Deluxe Pomade? To learn more about our reseller program please email product support.

Once you are ready to become a reseller please print this page, complete the information below, and fax to 240.757.8669 or email product support.

Once we receive this information we will contact you to discuss when you products will be shipped.

Company Information
This is where we will send your products.

Company Name _____________________________________________

Contact Name_______________________________________________

Address____________________________________________________

City ____________________________ State _____________ Zip ____________

Phone No. _________________________ Fax No. ________________________

Email Address_____________________________________________________



Billing Information
This is where we will send your invoice or sales receipt to. We will bill your first order to your credit card. Subsequent orders will be billed based on your preference indicated below.

Billing Preference (Invoice/Credit Card)________________________________

Credit Card Type (Visa/Mastercard - Used for 1st Order)__________________

Card Number
______________________________________________

Expiration Date
____________________________________________

Name on Card
_____________________________________________

Billing Address
_____________________________________________

City _________________________ State _____________ Zip ____________


Resale Information

I HEREBY CERTIFY:

1. I hold valid seller’s permit number:________________________

2. I am engaged in the business of selling the following type of tangible personal property: _________________________________________________________

3. This certificate is for the purchase from Layrite LLC of the item(s) I have listed in paragraph 5 below.

4. I will resell all item(s) purchased from layrite, which I am purchasing under this resale certificate in the form of tangible personal property in the regular course of my business operations, and I will do so prior to making any use of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course of my business. I understand that if I us the item(s) purchased under this certificate in any manner other than as just described, I will owe use tax based on each item’s purchase price or as otherwise provided by law.

5. I have read and understand the following:

For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section 6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty of 10 percent of the tax or $500, whichever is more.

Name of Purchaser _________________________________________

Signature of Purchaser ______________________________________

Printed Name ___________________ Title ______________________

Date _____________________________________________________



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