New Customer Registration

Company Information

Company Name:

Website:

Company Email:

Address 1:

Address 2:

Postal / Zip Code:

Country:

City:

Province / State:

SAGE #:

PPAI #:

ASI #:

Phone: (555)555-5555

Fax: (555)555-5555

Contact Information

First Name:

Last Name:

Title:

Direct Email Address: This will also be used as your web login ID

Business Information

What is your primary business activity?

How did you hear about us

Other

Number of employees in your location:

Number of outside sales reps:

Web Account Information

An account will be created with the login ID using the Direct Email Address.

Password: Must be between 8 and 16 characters long, must begin with a letter and can not contain any 3 consecutive characters from your login ID.

Confirm Password:

Password Hint: Enter a password hint to help you remember your password if you forget.

Communication Preferences

I would like to receive promotional emails

Terms and Conditions

By proceeding I acknowledge that I have read and agree to the following terms and conditions:

If the laws of the governing state so requires, all items purchased for resale will be resold by me within the geographical limits of the US, it’s territories and possessions, or within the geographical limits of the United Mexican States, in their present form or attached to other taxable items to be sold. I understand that it is unlawful to give a resale certificate to a seller for taxable items which I know at the time of purchase will be used in a manner inconsistent with the purpose stated in this certificate. I am aware that it is unlawful to present a resale certificate for the purchase of taxable items in which are intended for my use, or for any use other than retention, demonstration, or display while holding them for sale. I recognize that if I make any other use of such items, I must pay sales tax on the items at the time of use, based on the purchase price. I acknowledge that the misuse of this certificate may subject me to sanctions and penalties as prescribed by laws of the governing state. For Texas purchasers, I understand that it is a criminal offense to give a resale certificate to the seller for taxable items that I know, at the time of purchase, are purchased for use rather than for the purpose of resale, lease, or rental and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree. I further understand that if any goods purchased pursuant to the completion of this certificate are determined to be subject to sales or use tax, such tax will be borne by me as purchaser. This certificate continues in force until revoked by written notice to Staton Holdings, Inc. and the Department of Revenue of the governing state. The vendor (Staton Holdings, Inc.) must know, within the use of ordinary care, that the merchandise obtained upon this certificate of resale is merchandise normally sold by the vendee (our customer) in his or her usual course of business. Vendors failing to exercise such care will be liable for the sales tax due upon such purchases.

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