User Name Password Remember Me

Instructions

Enter the information below
Click the "Print Application" button
Print out the finished form
Bring the hardcopy form to Cash&Carry to receive your card.

Bring a copy of your resellers permit or tax id number along with this application (required).

Smart Foodservice® Card Application Form

Business, Government Agency Buying for Resale if applying for a business card

Mailings No Email Please

Business/Organization

Non-profit Tax ID Business / Organization Title First Name Last Name Email

Phone Address City State/Province Zipcode County

Registration The undersigned certifies he/she/they hold a valid UBI/Revenue Registration/Retail Certificate No.

Registration or Retail Certificate #

Is issued pursuant to all the applicable. Sales and Use Tax Laws; that the tangible personal property described herein which I shall purchase from Cash&Carry will be resold in the form of tangible personal property; PROVIDED, however, that in the event any such property is used for any purpose other than retention, demonstration or display while holding it for sale in the regular course of business, it is understood that i am required by the Sales and Use Laws to report and pay tax measured by the purchase price of such property.

Beverages (Non-Alcoholic)

Retail (Charcoal, Fluid and Jars)

Ice, Ice Cream, Novelties

Charcoal and Pellets

X To be Signed after printing

Signature
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Instructions

Smart Foodservice® Card Application Form