Resale Certificate
Please fill out the form listed below, and fax to 626-839-1723
Attn: Sales Department


RESELLER'S PERMIT

Firm Name / Company:_______________________________________________________


Address of Purchaser:  _________________________________________________________________

 
I HEREBY CERTIFY, That I hold valid seller’s permit No. __________________________________________
Issued pursuant to the Sales and Use Tax Law; that I am engaged in the business of selling

                                                                    
     
that the tangible personal property described herein which I shall purchase from:


     EYESWATCHING.COM   


will be resold by me in the form of tangible personal property; PROVIDED, however;  that in the event any of 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 Tax Law to  report and pay for the tax, measured by the purchase price of such property.

Description of property to be Purchased:      ___________________________

Date:__________________, 20 ______  Signature ________________________________

at _______________________________  Title _________________________________

                                Printed Name
Phone:(______)________________  of Purchaser ___________________________________


E-Mail Address _______________________________________________________________________


Order Number _______________________________________________________________________