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CUSTOMER WHOLESALE INFORMATION

Please be sure to fill in all cells. Thank you.

Company Name:
Email:
Address:
City:
State: Zip: Country:
Phone:
Fax:
Re-Sale Tax Number:
Store Front Yes
No
In Home Yes
No
Buyers:
Describe Your Business:

Do You Teach Yes
No
How Many Students:
Wholesale Resources You Now Use:

We THANK YOU for your request of Wholesale Information and someone will be in touch with you very shortly either by email or phone.

The Items Purchased are for Resale. Sales Tax will be the Responsibility of the Buyer.


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Sweetwater, TX 79556

email: <surestand@surestand.com>

Toll-Free: 1-800-760-4220

Phone: 1-325-933-5301
Patent #D363,959


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